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Verfügbare Lasersysteme und Wirkprinzip der Lasertrabekuloplastik

Available laser systems and mechanism of action in laser trabeculoplasty

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Zusammenfassung

Augeninnendrucksenkende Laserverfahren wie die Argonlasertrabekuloplastik oder die selektive Lasertrabekuloplastik sind aus der heutigen Glaukomtherapie nicht mehr wegzudenken. Dargestellt werden die derzeit gängisten Lasersysteme. Sie unterscheiden sich durch den physikalisch voneinander abweichenden Aufbau der Laser sowie durch die unterschiedliche Erzeugung des Laserlichts. Sie differieren sowohl in ihrem Effekt auf den Kammerwinkel auf histopathologischer Ebene als auch in den Wirkprinzipien der Augeninnendrucksenkung. Aktuell dienen die mechanische, die biologische und die Repopulationstheorie zur Erklärung der augeninnendrucksenkenden Wirkung der unterschiedlichen Lasersysteme. Sie werden in diesem Beitrag detailliert dargestellt.

Abstract

Intraocular pressure-lowering laser procedures such as argon laser trabeculoplasty and selective laser trabeculoplasty are nowadays an essential part of glaucoma therapy. This article presents the currently most popular laser systems. These various laser procedures are based on the physical structure of the different lasers and on variable generation of laser light. They vary in their effect on the trabecular meshwork on a histopathological level, as well as in the active principles of intraocular pressure reduction. The mechanical, biological, and repopulation theories are currently used to explain the intraocular pressure-lowering effect of the different laser systems; these are discussed in detail.

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  1. Augenklinik, Universitätsklinikum, Prittwitzstraße 43, 89075, Ulm, Deutschland

    G.R.K. Kuerzinger &  S. Eckert

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  1. G.R.K. Kuerzinger
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  2. S. Eckert
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Correspondence to S. Eckert.

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Kuerzinger, G., Eckert, S. Verfügbare Lasersysteme und Wirkprinzip der Lasertrabekuloplastik. Ophthalmologe 107, 8–12 (2010). https://doi.org/10.1007/s00347-009-2051-9

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