Abstract
Purpose: :
To compare the efficacy of Selective Laser Trabeculoplasty (SLT) as treatment to lower intraocular pressure (IOP) in patients with primary open-angle glaucoma (POAG) and pseudoexfoliation glaucoma (PXFG).
Methods: :
Retrospective review of 20 eyes of 20 patients with PXFG and 24 eyes of 24 patients with POAG. All of the patients had uncontrolled intraocular pressure (IOP), defined as IOP >22 mmHg, on maximally tolerated medication therapy. The follow-up was at least 12 months.
Results: :
The initial IOP were, respectively, 24.2±1.2 mmHg for the PXFG patients and 23.9±1.1 mmHg for the POAG patients. At the end of the follow-up the IOP were, respectively, 22.9±1.7 mmHg for the PXFG patients and 18.1±1.2 mmHg for the POAG patients. There was not statistically significant different between pretreatment IOP and final IOP among patients with PXFG. (p>0.05). Patients with POAG had a IOP lowering statistically significant (p<0.05).
Conclusions: :
SLT is effective as treatment in IOP lowering at 12 months only in patients with POAG. Patients affected by PXFG required further medical or surgical intervention to lower IOP.
Keywords: laser • outflow: trabecular meshwork