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PURPOSE: To report the long-term outcome of selective laser trabeculoplasty and to evaluate its correlation with preoperative circadian intraocular pressure (IOP). Cases: We reviewed 33 eyes of 21 patients. The series comprised primary open-angle glaucoma 24 eyes and normal-tension glaucoma 9 eyes. Their age ranged from 47 to 83 years, average 65 years. Baseline IOP ranged from 11 to 27 mmHg, average 17.4 ± 4.2 mmHg. METHOD: Trabeculoplasty along 180°of circumference was performed with laser beam of 532 nm in wavelength. Cases were followed up for 2 years or longer. RESULTS: At the final observation, IOP decreased by 2.8 ± 3.3 mmHg. Outflow pressure improved by 18.5 ± 64.1%. Success rate was 71.6% after 6 months and 62.6% after 12 to 24 months of treatment. Circadian IOP was not significantly correlated with rate of success. CONCLUSION: Selective laser trabeculoplasty induced decreased IOP in eyes with normal-tension or primary open-angle glaucoma. LA: Japanese
Dr. S. Maeda, Department of Ophthalmology, Sapporo Medical University School of Medicine, South1 West16, Sapporo 060-8543, Japan
12.4 Laser trabeculoplasty and other laser treatment of the angle (Part of: 12 Surgical treatment)