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Year : 2014  |  Volume : 107  |  Issue : 4  |  Page : 268-271

Selective laser trabeculoplasty in pseudophakic patients with open angle glaucoma

Department of Ophthalmology, Cairo University, Cairo, Egypt presented-atPoster presented at the 5th World Glaucoma Congress, 2013 in Vancouver, Canada

Correspondence Address:
Rasha M Eltanamly
MD, 34, El-Nadi Street, Maadi 11431, Cairo

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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2090-0686.150685

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Purpose Selective laser trabeculoplasty (SLT) is an effective procedure in lowering intraocular pressure (IOP) in patients with open angle glaucoma. The current study investigates the efficacy of SLT in lowering IOP in pseudophakic patients with open angle glaucoma. Patients and methods Records of 36 pseudophakic patients who underwent 360΀ SLT were reviewed. IOP and number of medications were recorded before and at 1, 6, 12, and 24 months after the procedure. Nine patients had undergone prior subscleral trabeculectomy (SST). Results Mean (± SD) IOP for all patients decreased from 19 ± (4.6) mmHg before SLT to 13.69 ± (4.4) mmHg at 2 years follow-up (P<0.0001). Success rate at 2 years was 76.9%. The mean number of medications used decreased from 2.11 before SLT to 1.25 at 24 months. The decrease in mean IOP for patients with prior SST (from 21.33 to 15.75 at 2 years) was comparable with patients with no prior surgery (from 18.22 to 12.78 at 2 years). Conclusion SLT is an effective method of lowering IOP in pseudophakic patients with glaucoma. Previous SST has no significance on the rate of decrease of IOP in patients undergoing laser trabeculoplasty.

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