April 2014
Volume 55, Issue 13
Free
ARVO Annual Meeting Abstract  |   April 2014
Selective Laser Trabeculoplasty as Initial Therapy in Community Ophthalmology Offices
Author Affiliations & Notes
  • Sophia Y Siu
    Ophthalmology, Temple University Hospital, Philadelphia, PA
  • Alex B Theventhiran
    Ophthalmology, Temple University Hospital, Philadelphia, PA
  • Melissa Tripoli
    Crozer Chester Medical Center, Upland, PA
  • Steven Luminais
    LevinLuminaisChronister Eye Associates, Thorndale, PA
  • Richard L Sherry
    Brandywine Eye Center, Wilmington, DE
  • Daohai Yu
    Department of Clinical Sciences, Temple University School of Medicine, Philadelphia, PA
  • Jeffrey D Henderer
    Ophthalmology, Temple University Hospital, Philadelphia, PA
  • Footnotes
    Commercial Relationships Sophia Siu, None; Alex Theventhiran, None; Melissa Tripoli, None; Steven Luminais, None; Richard Sherry, None; Daohai Yu, None; Jeffrey Henderer, None
  • Footnotes
    Support None
Investigative Ophthalmology & Visual Science April 2014, Vol.55, 6156. doi:
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      Sophia Y Siu, Alex B Theventhiran, Melissa Tripoli, Steven Luminais, Richard L Sherry, Daohai Yu, Jeffrey D Henderer; Selective Laser Trabeculoplasty as Initial Therapy in Community Ophthalmology Offices. Invest. Ophthalmol. Vis. Sci. 2014;55(13):6156.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose: To investigate selective laser trabeculoplasty (SLT) as initial treatment of primary open-angle glaucoma (POAG) by comprehensive ophthalmologists.

Methods: Retrospective chart review of patients with POAG who received SLT as primary therapy in two community offices from May 2001 to May 2012. Intraocular pressure (IOP) before SLT and IOP post-laser were studied at initial follow-up, six month, and twelve month intervals. The main outcome measure was IOP. SLT was performed in 498 eyes in 287 patients (117 male, 170 female) with POAG (Mean age 66.5 +/- 12.8 years). 357 eyes received 180 degrees and 141 eyes received between 180 and 360 degrees of treatment as initial therapy.

Results: At the 1 year visit, mean 361.2 +/- 26.6 days, mean decrease in IOP was 3.4 +/- 3.3 mmHg or 15.1 +/- 14.8 percent (p<0.0001). Mean prelaser IOP was 21.2 +/- 3.3 mmHg which lowered to a mean IOP of 17.8 +/- 3.3 mmHg. On multivariable analysis, the only factor predictive of response to SLT was baseline IOP (p<0.0001). 64 patients (22.3%) required additional therapy including additional medical treatment or laser.

Conclusions: In eyes with POAG, SLT performed by two comprehensive ophthalmologists was found to be an effective initial therapy for lowering IOP.

Keywords: 633 outflow: trabecular meshwork • 578 laser  
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