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Invited Commentary |

Public Health Policy Lessons From Oklahoma ONLINE FIRST

Alan L. Robin, MD1,2
[+] Author Affiliations
1Wilmer Eye Institute, Johns Hopkins Hospital, Baltimore, Maryland
2Department of Ophthalmology, University of Maryland, Baltimore
JAMA Ophthalmol. Published online July 28, 2016. doi:10.1001/jamaophthalmol.2016.2573
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Laser trabeculoplasty (LTP) was popularized in 19791 in eyes receiving maximal medical therapy. Various prospective clinical trials sponsored by the National Institutes of Health have since better defined its usefulness in early and advanced glaucoma. Today, the American Academy of Ophthalmology Primary Open Angle Glaucoma Preferred Practice Pattern finds that argon LTP and selective LTP have comparable intraocular pressure (IOP) lowering efficacy and safety profiles, but additional LTP (regardless of the laser type) has a decreased rate of success and an increased complication profile, including permanent IOP increase.2

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