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Synthesis Ophthalmic Scanning Laser Systems Page 30 of 141
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damage.
Intraocular pressure elevations have been reported to occur in up to 53% of eyes when 360º
of the trabecular meshwork has been treated with 100 spots at the initial session. Intraocular
pressure rises occur most frequently from 1 to 2 hours following laser treatment, although
they may occur several hours afterward. For this reason, it is imperative to monitor patient
intraocular pressure after laser treatment for up to 24 hours.
Peripheral anterior synechiae may occur when the posterior portion of the trabecular
meshwork or other structures posterior to the meshwork are treated. These are best avoided
by meticulous delivery of a well-focused laser beam.
Transient corneal epithelial burns have reportedly been resolved within 1 week without
scarring. Endothelial burns are rarely encountered when careful focusing is employed.
Rarely, severe iritis may occur, related to either an unusual patient response or improper spot
location.