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AIM: To observe the effect of selective laser trabeculoplasty (SLT) on primary open angle glaucoma (FOAG). METHODS: One hundred sixty eyes of 80 patients with POAG, of which intraocular pressure (IOP) in 40 eyes (20 patients) was over 30mmHg and 120 eyes (60 patients) below it, were observed with no obvious damage or mild damage by blue-on-yellow perimetry (BYP) examination. The patients were treated with the frequency-doubled Q-switched Nd: YAG laser (532nm). Approximately 50-80 spots (facula 400nm) were placed over 180(degrees)-360(degrees) of the trabecular meshwork at energy levels ranging from 0.3 to 1.0 mJ per pulse (pulse width 3(mu)s). IOP of 1 day, 1 week, 1, 3 and 6 moths after surgery was detected. RESULTS: SLT has visible effect on the patients with IOP below 30mmHg. However, IOP was not controlled ideally in the patients with IOP over 30mmHg. CONCLUSION: Although SLT has the defects of narrow target and strong pertinency, it provides a new thought and hope for POAG treatment. LA: Chinese
X.-D. Yan. Eye Center, No. 474 Hospital of Chinese PLA, Urumuchi 830011, China. yxd-2512007@163.com
12.4 Laser trabeculoplasty and other laser treatment of the angle (Part of: 12 Surgical treatment)