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Abstract #47943 Published in IGR 13-4
Selective laser trabeculoplasty in uncontrolled pseudoexfoliation glaucoma
Goldenfeld M; Geyer O; Segev E; Kaplan-Messas A; Melamed SOphthalmic Surgery Lasers and Imaging 2011; 42: 390-393
(black square) BACKGROUND AND OBJECTIVE: To assess the efficacy and safety of selective laser trabeculoplasty (SLT) in uncontrolled pseudoexfoliation glaucoma (PEXG). (black square) PATIENTS AND METHODS: Fifty-seven eyes (57 patients) with uncontrolled PEXG and intraocular pressure (IOP) greater than 23 mm Hg underwent SLT. All received ophthalmic evaluation preoperatively and at intervals postoperatively. IOP was measured at 1 hour, 1 day, 1 week, and 1, 3, 6, and 12 months postoperatively. During follow-up, patients were treated with topical anti-glaucoma medications as necessary. (black square) RESULTS: One year postoperatively, mean IOP in all patients decreased from 26.01 (plus or minus) 2.5 to 17.8 (plus or minus) 2.8 mm Hg (31.5%; P < .001). Mean medications per patient decreased from 2.8 to 2.3. Complications included conjunctival redness and infection within 1 day postoperatively in 30 eyes (67%). One hour after SLT treatment, an increase in IOP greater than 5 mm Hg was detected in two eyes (3.5%) and resolved within 24 hours with topical medication. (black square) CONCLUSION: SLT is safe and effective in patients with PEXG. Copyright (copyright) SLACK Incorporated.
M. Goldenfeld. Sam Rothberg Glaucoma Center, Goldschleger Eye Institute, Sheba Medical Center, Tel-Hashomer, Israel. Email: audreykap@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)
