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Gene/Protein
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Target Concepts:
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Query: EC:2.6.1.2 (
alanine aminotransferase
)
26,722
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
Using the now well established technique
ALT
is a safe and effective means of lowering IOP in eyes with POAG,
pigmentary glaucoma
, and exfoliative glaucoma though the effect diminishes with time. Pressure reduction with
ALT
is seldom greater than 30% and eyes with an IOP of more than 28 mm Hg are unlikely to be controlled for any length of time without additional treatment.
ALT
is probably most suitable either for older patients whose glaucoma is not well controlled on medical treatment, or for patients with newly diagnosed
open angle glaucoma
, but without advanced field loss, as a primary treatment or in combination with a non-miotic topical medication. In many it will defer surgery, in some indefinitely.
...
PMID:Laser trabeculoplasty. 142 46
Twenty two Asian eyes suffering from
open angle glaucoma
were treated by argon laser trabeculoplasty and were followed for an average of eleven months. 77.27% of eyes were controlled with
ALT
alone. The pressure lowering effect of argon laser trabeculoplasty in this series was found to be consistent. Argon laser trabeculoplasty may become the preferred method of treating
open angle glaucoma
in the Asian population.
...
PMID:Argon laser trabeculoplasty in Asian eyes. 359 9
We have compared long-term intraocular pressure control in patients with
open angle glaucoma
, cupping and atrophy of the optic nerve head and visual field loss as well as cataract after: trabeculectomy posterior to the scleral spur and cataract extraction without implantation in 108 patients. guarded posterior lip sclerectomy, cataract extraction and Mark VIII or Mark IX anterior chamber implantation in 28 patients. argon laser trabeculoplasty followed by lens extraction and implantation in 27 patients. Approximately 75 per cent of patients achieve intraocular pressures of 18 mm Hg or less without medication after (a), and approximately 40 per cent of patients achieve similar control without medication after (b). Approximately 25 per cent of these glaucoma patients have intraocular pressure levels of less than or equal to 18 mm Hg on topical medication three months after
ALT
, and none achieve this control without medication. Cataract surgery with anterior or posterior chamber implantation caused loss of topical control in four of the seven patients benefiting from
ALT
. These data imply that combined surgery with or without implantation produces better and more significant intraocular pressure control than the presently utilized techniques of
ALT
subsequently followed by lens extraction and implantation.
...
PMID:Laser trabeculoplasty and cataract surgery. 385 41
On 210 glaucomatous patients (119 men, 91 women), 390 eyes with open angle chronic glaucoma, we have performed an argon laser trabeculoplasty according to Wise technique (360 degrees in one time).
ALT
was presented as an alternative to surgery. Therefore results were appreciated so that
ALT
allowed or not to avoid surgery. After one year, the rate of failures was: on all the 390 eyes: 15 p. cent on O.A.C.G. simplex: 6.7 p. cent on myopic glaucoma: 7 p. cent on
pigmentary glaucoma
: 29.5 p. cent on capsular glaucoma: 6 p. cent after trabeculectomy: 62 p. cent on aphakic glaucoma: 50 p. cent on secondary glaucoma: 33 p. cent on combined glaucoma: 0 p. cent In the group of successful results,
ALT
allowed to lower medical treatment in at less 70 p. cent after one year of follow-up except for
pigmentary glaucoma
where, in almost all cases, medication before
ALT
had to be continued.
...
PMID:[Results 1 year after trabeculoretraction by 360 degree argon laser in the treatment of open-angle glaucoma]. 399 4
The current role of argon laser trabeculoplasty in the treatment of
open angle glaucoma
is still open discussion. To evaluate the effectiveness of
ALT
we performed a study on 36 patients followed for 2 years. We noted a success rate of 61.11% after 2 years and noticed that the success rate decreased in time.
ALT
should be considered as an intermediate therapy in the management of
open angle glaucoma
, after drug therapy has failed and before filtering surgery is performed.
...
PMID:[Argon laser trabeculoplasty--the possibility for antiglaucoma treatment]. 1064 Nov 6