laser trabeculoplasty

laser trabeculoplasty, an application of argon or selective laser energy to the trabecular meshwork to increase aqueous outflow in the treatment of glaucoma. The procedure may be recommended when intraocular pressure increases despite administration of topical agents. The eye is anesthetized with a topical anesthetic. The trabecular network is viewed through an antireflective-coated four-mirror gonioprism. A power setting and exposure time are selected to blanch the anterior trabecular meshwork with laser energy without causing bubble formation. A potential complication is a temporary increase in intraocular pressure, which is treated with drugs. The effects of laser trabeculoplasty are not always long-lasting.