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Abstract #6229 Published in IGR 2-2
Clinical results of selective laser trabeculoplasty
Kajiya S; Hayakawa K; Sawaguchi SNippon Ganka Gakkai Zasshi 2000; 104: 160-164
PURPOSE: Selective laser trabeculoplasty (SLT) is a new technique aimed at developing impact pigmented trabecular cells selectively. Compared with ordinary argon laser trabeculoplasty, it is expected to have fewer complications with more efficacy for open-angle glaucoma. In this study, the authors performed SLT on 17 eyes of ten patients with primary open-angle glaucoma and one eye with capsular glaucoma. METHODS: The follow-up period was up to ten months. Average energy irrachieted was 28.14 mJ (0.47 mJ x 59 spots) against the pigmented trabecular band over half the circumference of the anterior chamber angle. RESULTS: Preoperative mean intraocular pressure (IOP) was 22.8 mmHg and postoperative mean IOP had decreased significantly to 8.6, 17.3, and 16.1 mmHg at one, three, and six months after treatment, respectively. The average maximum IOP reduction was 8.8 (3-18) mmHg after SLT. Of 11 eyes showing transient IOP elevation, six had an elevation of more than 5 mmHg. No remarkable postoperative complications were noted. CONCLUSIONS: SLT is a safe and effective modality for the treatment of open-angle glaucoma such as primary open-angle glaucoma (POAG) and capsular glaucoma. LA: Japanese
Dr. S. Kajiya, Department of Ophthalmology, University of Ryukyu Faculty of Medicine, Okinawa, Japan
Classification:
12.4 Laser trabeculoplasty and other laser treatment of the angle (Part of: 12 Surgical treatment)
