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