advertisement
PURPOSE: To investigate the immediate changes of aqueous humour endothelin 1 (ET-1) concentration and intraocular pressure (IOP) after argon laser trabeculoplasty (ALT) in the rabbit. METHODS: Standard ALT was performed in one eye of 11 pigmented rabbits. IOP was measured with a Tono-Pen-2 tonometer before treatment, under general anesthesia. Post-laser IOP measurements followed by aqueous humor aspiration were performed under general anesthesia 30 and 60 minutes after treatment in six and five animals, respectively. RESULTS: The aqueous humor ET-1 concentration was significantly higher (55.0 pg/ml) after ALT than in the contralateral eyes without laser treatment (8.2 pg/ml, p = 0.001). IOP increased significantly after ALT (p = 0.007) but remained unaltered (p = 0.10) in the contralateral eyes without treatment. No statistically significant difference was found either in post-laser IOP elevation or in interocular ET-1 difference between the groups. CONCLUSIONS: The results suggest that in the rabbit the increase in aqueous humour ET-1 concentration after ALT is immediate, detectable even 30 minutes after the laser treatment, followed by no further increase during the second 30-minute period after ALT, and associated with an immediate postlaser IOP elevation within one hour after ALT. These findings may suggest a similar response to ALT in the human eye, since a similar immediate IOP elevation is frequently observed after ALT in clinical practice.
Dr. G. Hollo, 1st Department of Ophthalmology, Semmelweis University, Budapest, Hungary
12.4 Laser trabeculoplasty and other laser treatment of the angle (Part of: 12 Surgical treatment)