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Neil Kalbag, Shriji Patel, Albert Khouri, Tamara Berezina, Robert Fechtner, Amir Cohen; Selective Laser Trabeculoplasty in the Treatment of Glaucoma in Phakic Versus Pseudophakic Patients. Invest. Ophthalmol. Vis. Sci. 2013;54(15):1862.
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© ARVO (1962-2015); The Authors (2016-present)
To compare the intraocular pressure lowering effect of selective laser trabeculoplasty (SLT) for treatment of open-angle glaucoma in phakic versus pseudophakic patients
A retrospective chart review was performed on 106 eyes of 77 patients who had SLT performed by the same surgeon for the treatment of open-angle glaucoma between 2008 and 2012. All patients were followed for a minimum of 30 days. Patients who required additional laser therapy or surgery during the post-procedure follow up were excluded. Pre and post-procedure intraocular pressures (IOP) were recorded along with pre and post-procedure glaucoma medication lists.
The data for 77 phakic and 29 pseudophakic eyes was examined. Baseline intraocular pressures for phakic and pseudophakic groups were 21.53 ± 6.86 and 19.58 ± 5.32 respectively, and did not significantly vary from each other (p = 0.170). The phakic group experienced a 21.3% reduction in IOP at mean follow up time 258 days, resulting in a post-operative IOP of 16.93 ± 6.29, while the pseudophakic group experienced a 24.0% reduction in IOP at mean time follow up time 220 days, and post operative IOP of 14.89 ± 4.20 for the pseudophakic group. Postoperative IOP did not significantly differ when comparing the two groups (p = 0.109). There was no significant change in medication use in either group.
SLT produced similar long-term intraocular pressure reduction in phakic and pseudophakic patients.
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