Purchase this article with an account.
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.
Download citation file:
© ARVO (1962-2015); The Authors (2016-present)
To investigate selective laser trabeculoplasty (SLT) as initial treatment of primary open-angle glaucoma (POAG) by comprehensive ophthalmologists.
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.
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.
In eyes with POAG, SLT performed by two comprehensive ophthalmologists was found to be an effective initial therapy for lowering IOP.
This PDF is available to Subscribers Only