ABSTRACT
Laser trabeculoplasty has been shown to be very effective. Lower laser powers are sufficient as the trabecular meshwork pigment absorbs the energy well. However, long-term results show more than half of patients losing treatment effect within 5 years. Conventional filtering surgery yields good results in pigmentary glaucoma. Results are similar to those obtained in patients
with primary open-angle glaucoma. Antimetabolites should be used cautiously, as these young, myopic patients are more prone to hypotensive maculopathy.
