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Abstract #28143 Published in IGR 13-1
Long-term safety and efficacy of selective laser trabeculoplasty as primary therapy for the treatment of pseudoexfoliation glaucoma compared with primary open-angle glaucoma
Shazly TA; Smith J; Latina MAClinical Ophthalmology 2011; 5: 5-10
Purpose: To investigate the safety and efficacy of selective laser trabeculoplasty (SLT) to reduce intraocular pressure (IOP) in patients with pseudoexfoliation glaucoma (PXFG) compared with primary open-angle glaucoma (POAG). Design: Non-randomized, prospective, clinical trial. Methods: Nineteen eyes of 13 patients with POAG and 18 eyes of 13 patients with PXFG were treated with SLT. Patients were followed without antiglaucoma medications until additional medical, laser, or surgical intervention was initiated, at which time they were considered failures, had withdrawn from the study, or underwent a second SLT. Results: The POAG and PXFG eyes showed similar reductions of IOP over the 49 months of follow-up. At 30 months of follow-up the POAG group showed a mean IOP of 17.6 (plus or minus) 2.8 mmHg and a mean IOP reduction of 5.7 (plus or minus) 2.1 mmHg; the PXFG group showed a mean IOP of 18.3 (plus or minus) 4.7 and a mean IOP reduction of 5.3 (plus or minus) 3.0 mmHg. Four eyes in the PXFG group and three eyes in the POAG group failed by 30 months. The cumulative probability of success was 74% for the PXFG group and 77% for the POAG group. Four PXFG eyes underwent a second SLT after 30 months of follow-up with a final IOP of 17.6 (plus or minus) 2.8 mmHg. There were no serious adverse events. Conclusion: SLT is a safe and effective method to lower IOP in patients with PXFG as initial glaucoma therapy. Both groups showed similar IOP reductions and failure rates.
T. A. Shazly. 20 Pondmeadow Dr Ste 203, Reading, MA, 01867, United States. shazlyt@gmail.com
Classification:
9.4.4.1 Exfoliation syndrome (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.4 Glaucomas associated with disorders of the lens)
12.4 Laser trabeculoplasty and other laser treatment of the angle (Part of: 12 Surgical treatment)