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Abstract #25573 Published in IGR 12-1
Effect of selective laser trabeculoplasty on special patients of high IOP
Tian Y -M; Gao X -W; Yu A -P; Ren B; Wang R -FInternational Journal of Ophthalmology 2009; 9: 2233-2234
AIM: To explore the effect of selective laser trabeculoplasty(SLT) on special patients with high IOP who were not suitable for or did not accept glaucoma operation. METHODS: Ten patients whose IOP was high were investigated. Of them, 1 patient had no lenses after removing silicone oil; 3 patients were ever operated on by trabeculoplasty (one eye were operated twice in Aser-baidschan). 3 patients were diagnosed as ocular hyperten-sion, 1 patient was padded with silicon oil, 2 patients were absolute glaucoma ( one was open angle glaucoma, one was angle-closure glaucoma). All these patients were treated with SLT (80-120 non overlapping spots were placed over 180 upper angle or inferior angle according to IOP level. Primary angle-closure glaucoma were first treated with laser aridotomy, after that, when IOP of these eyes was over 21 mmHg, the patients were treated with SLT). RESULTS: The average preoperation IOP of these 10 eyes was 28.9 (plus or minus) 5.4mmHg (the limits of IOP was 22-40mmHg). IOP 1 day, 1 week, 1 month and 6 months after SLT was 21.6 (plus or minus) 6.5mmHg, 24.3 (plus or minus) 6.01mmHg, 22.2 (plus or minus) 63mmHg, 21.4 (plus or minus) 5.2mmHg respectively. There were 6 eyes whose IOP was less than 21 mmHg with no use of medcine; the treatment of some cases needed to be repeated. The IOPs of all these eyes were less than 21 mmHg after the use of one kind of eye drops which can reduce IOP. No apparent inflammatory reaction in anterior chamber was seen. A few patients felt little pain and light discomfortable. CONCLUSION: SLT is a safe, effective and selectable treatment for special patients with high IOP who are not suitable for glaucoma operation. LA: Chinese
Y.-M. Tian. Eye Center, 474th Hospital of Chinese PLA, Uramochi 830001, China. tianyanming@163.com
Classification:
12.4 Laser trabeculoplasty and other laser treatment of the angle (Part of: 12 Surgical treatment)
