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V. Russo, A. Barone, A. Stella, S. Iolanda, C. Pizzicoli, N. Delle Noci; Selective Laser Trabeculoplasty in the Treatment of Pseudoexfoliation Glaucoma. Invest. Ophthalmol. Vis. Sci. 2010;51(13):4432.
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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).
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.
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).
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.
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