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AIM: To evaluate the efficiency and safety of selective laser trabeculoplasty (SLT) on primary open angle glaucoma (POAG) and compare the effect under different condition: POAG with previous trabeculoplasty, POAG with medical therapy and POAG without therapy. METHODS: 46 eyes of 46 patients with uncontrolled POAG (group A with previous trabeculectomy, group B with medical therapy and group C without therapy) were treated with a frequency-doubled, Q-switched Nd: YAG laser, intraocular pressure (IOP) was measured 1 hour, 1 day, 1 week and 1,3,6 months after treatment. RESULTS: The average IOP was (16.9 (plus or minus) 3.2)inverted commas (18.7 (plus or minus) 3.3)inverted commas (18.9 (plus or minus) 3.3)inverted commas (19.8 (plus or minus) 3.2)inverted commas (20.0 (plus or minus) 3.4) mmHg at 1 day, 1 week and 1, 3, 6 months after SLT, respectively. There was significant IOP decrease after SLT and no difference among group A, B and C. CONCLUSION: SLT is an effective and safe method to lower IOP of POAG no matter whether the patient had previous trabeculoplasty, medical therapy or without therapy. LA: Chinese
Z.-L. Lu. Department of Ophthalmology, Dalian Medical University, Dalian 116011, Liaoning Province, China. wqp89@sohu.com
12.4 Laser trabeculoplasty and other laser treatment of the angle (Part of: 12 Surgical treatment)