Posters

Selective laser trabeculoplasty in primary angle-closure glaucoma and primary open-angle glaucoma after laser peripheral iridotomy

Poster Details

First Author: D. Kazakova BULGARIA

Co Author(s):                        

Abstract Details

Purpose:

To evaluate the outcomes of selective laser trabeculoplasty (SLT) in patients with primary angle closure (PAC/PACG) following a YAG peripheral iridotomy (PLI) compared to primary open angle glaucoma (POAG).

Setting:

A case study compared the effectiveness of SLT in PAC/PACG to POAG. Data from patients who underwent SLT after a successful PLI for PAC/ PACG (PAC/PACG group) with an opening of the angle for at least 180 degrees were compared to a POAG group that was randomly matched

Methods:

Data were collected on the change in IOP from baseline and reduction in number of medications following SLT in both groups. SLT was considered successful when IOP decreased by ≥20% of the baseline IOP without further medical or surgical intervention or a reduction in glaucoma medications by ≥1 from the baseline number.

Results:

In the PAC/PACG group, IOP was19.3±6.5 mmHg at baseline and 15 ±3.5 mmHg10 months following SLT and the number of medications decreased from 2.3 at baseline to 1.4 In the POAG group, IOP 19.6±5.6 mmHg at baseline, and 16.1 ± 3.7 mmHg, 11 months following SLT and the glaucoma medications decreased from 2.3 to 1.1. The success rate of achieving clinically significant IOP reduction of 20% or more from baseline, or discontinuation of one or more of glaucoma medications was observed in 8 eyes in the PAC/PACG group and 7 eyes in the POAG group

Conclusions:

The safety and efficacy of SLT was equivalent in PAC/PACG and POAG.

Financial Disclosure:

NONE