本文简要综述激光小梁成形术的病理生理,技术,并发症,治疗结果等。激光小梁成形术可用以治疗原发性开角型青光眼,色素性青光眼和表皮剥脱性青光眼。可在门诊手术,安全有效,最大问题是降压效果随时间推移而减弱。对药物治疗效果不佳的老年患者尤为适宜。最严重的并发症是术后眼压升高引起的失明,但这种并发症是可以预防的。 This article briefly summarizes the pathophysiology of laser trabeculoplasty, techniques, complications, treatment results and so on. Laser trabeculoplasty can be used to treat primary open-angle glaucoma, pigmented glaucoma and epidermal exfoliative glaucoma. Outpatient surgery can be safe and effective, the biggest problem is the antihypertensive effect weakened over time. Elderly patients with poor response to medication are particularly suitable. The most serious complication is blindness caused by increased postoperative IOP, but this complication is preventable.