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John V. Thomas, MD; Aly El-Mofty, MD; Essam E. Hamdy, MD; Richard J. Simmons, MD

Arch Ophthalmol. 1984;102(5):702-703.

Abstract
• Argon laser trabeculoplasty (ALT) was used as the initial treatment in 30 eyes of 20 patients with uncontrolled open-angle glaucoma in Egypt. None of the patients had received previous medical or surgical therapy. The average reduction of intraocular pressure with ALT alone was 10.1 mm Hg. Medical and surgical glaucoma therapy was avoided in 83% (25 eyes) of the treated eyes during an average follow-up period of 7 months. The data indicate that ALT can be used as a safe and effective initial treatment for glaucoma in developing countries where socioeconomic factors make the medical treatment of glaucoma impractical.

Author Affiliations
From the Glaucoma Consultation Service, Massachusetts Eye and Ear Infirmary, Harvard Medical School, and the New England Glaucoma Research Foundation, Boston (Drs Thomas and Simmons); and the Department of Ophthalmology, Cairo University (Drs El-Mofty and Hamdy).

Footnotes
Accepted for publication Oct 13, 1983.

Read in part before the 24th International Congress of Ophthalmology, San Francisco, Nov 1, 1982.

Reprint requests to 100 Charles River Plaza, Boston, MA 02114 (Dr Simmons).

Lisa Marini and Sheila Attig prepared the manuscript.

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