April 2010
Volume 51, Issue 13
Free
ARVO Annual Meeting Abstract  |   April 2010
The Efficacy and Safety 180° Selective Laser Trabeculoplasty in Patients With Juvenile Glaucoma
Author Affiliations & Notes
  • J. K. Park
    Ophthalmology, Dong A University Hospital, Busan, Republic of Korea
  • H.-R. Seo
    Ophthalmology, Dong A University Hospital, Busan, Republic of Korea
  • W.-J. Jung
    Ophthalmology, Dong A University Hospital, Busan, Republic of Korea
  • H.-B. Ahn
    Ophthalmology, Dong A University Hospital, Busan, Republic of Korea
  • W.-C. Park
    Ophthalmology, Dong A University Hospital, Busan, Republic of Korea
  • S. H. Rho
    Ophthalmology, Dong A University Hospital, Seo-Ku, Republic of Korea
  • Footnotes
    Commercial Relationships  J.K. Park, None; H.-R. Seo, None; W.-J. Jung, None; H.-B. Ahn, None; W.-C. Park, None; S.H. Rho, None.
  • Footnotes
    Support  None.
Investigative Ophthalmology & Visual Science April 2010, Vol.51, 4436. doi:
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      J. K. Park, H.-R. Seo, W.-J. Jung, H.-B. Ahn, W.-C. Park, S. H. Rho; The Efficacy and Safety 180° Selective Laser Trabeculoplasty in Patients With Juvenile Glaucoma. Invest. Ophthalmol. Vis. Sci. 2010;51(13):4436.

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

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Abstract

Purpose: : To investigate the efficacy and safety of selective laser trabeculoplasty(SLT) in juvenile glaucoma patients

Methods: : In 17 eyes(9 persons) of juvenile glaucoma patients with uncontrolled IOPs, SLT was done at angle of inferior half. The mean of follow-up periods was 3.99±1.67 Months. The mean age was 19.6±9.6(Range: 10~39). IOPs was checked at 1 day, 1 week, 1 month, 3 months, and 6 months after SLT. Anterior chamber reaction and ocular pain was checked at 1 day after SLT. Peripheral anterior synechia was examined at 6 months postoperatively. All anti-glaucoma drugs were discontinued after SLT, but the cases over target IOPs after SLT reapplied anti-glaucoma drugs Patients with history of iritis, uveitis, or intraocular surgery were excluded.

Results: : The mean IOPs before SLT was 20.1±2.1mmHg. The mean IOPs after SLT was 16.6±4.2mmHg at 1 month, 17.4±3.5mmHg at 3 months, and 17.6±4.5mmHg at 6 months(statistically significant decrease of IOPs: p<0.05). The numbers of anti-glaucoma drugs was showed statistically significant decrease between at pre-SLT(1.80±0.87) and at post-SLT(0.63±0.80) (p<0.000). Complication was found the anterior chamber reaction(4 cases) and the transient IOP spike(2 cases).

Conclusions: : SLT seems to be a safe and effective procedure for patients with juvenile glaucoma who need to discontinue or reduce the number of anti-glaucoma drugs.

Keywords: laser • clinical (human) or epidemiologic studies: treatment/prevention assessment/controlled clinical trials 
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