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