以氩激光小梁成形术（ＡＬＴ）治疗原发性开角青光眼３５例５９只眼，其中２３例４２眼进行了随访，降压效果非常显著，ＩＯＰ＜２．８ｋＰａ（２１ｍｍＨｇ）３５眼，２．９３～３．２ｋＰａ（２２～２４ｍｍＨｇ）６眼，＞３．２ｋＰａ（２４ｍｍＨｇ）１眼。本法优点：术式可重复，方便，可在门诊治疗已成为药物不能控制与手术之间的过度措施。使用低能量１８０°范围５０个点，疗效良好，无术后高眼压等并发症。待病眼眼压控制后可逐渐减用抗青光眼药物；也可因疗效随时间衰退而辅以药物治疗，与手术相比，ＡＬＴ更为安全，尤运用于老年患者。 35 cases (59 eyes) with primary open-angle glaucoma were treated with argon laser trabeculoplasty (ALT). Twenty-three of the 42 cases were followed up and the antihypertensive efficacy was very good. The IOP was lower than 2.8 kPa (21 mmHg) 6 eyes of 93 ~ 3.2kPa (22 ~ 24mmHg) and 1 eye of> 3.2kPa (24mmHg). The advantages of this method: surgical procedures can be repeated, convenient and can be outpatient treatment has become an over-measure between the uncontrollable drug and surgery. The use of low energy 180 ° range of 50 points, good effect, no postoperative intraocular hypertension and other complications. Eye disease pressure control can be gradually reduced after anti-glaucoma drugs; also due to the decline in efficacy over time supplemented by drug treatment, compared with surgery, ALT more secure, especially for elderly patients.