J Korean Ophthalmol Soc > Volume 48(11); 2007 > Article
Journal of the Korean Ophthalmological Society 2007;48(11):1494-1499.
DOI: https://doi.org/10.3341/jkos.2007.48.11.1494    Published online November 30, 2007.
Selective Laser Trabeculoplasty in Fertile Women with Open Angle Glaucoma or Ocular Hypertension.
Myoung Hee Park, Jung Il Moon
Department of Ophthalmology, College of Medicine, The Catholic University of Korea, Seoul, Korea. jimoon@catholic.ac.kr
개방각녹내장 및 고안압증 가임기여성에서 선택적 레이저섬유주성형술의 효용성과 안전성
박명희,문정일
Department of Ophthalmology, College of Medicine, The Catholic University of Korea, Seoul, Korea
Correspondence:  Jung-Il Moon, M.D., Ph.D.
Abstract
PURPOSE
To investigate the efficacy and safety of selective laser trabeculoplasty (SLT) in pregnant and lactating women who have primary open-angle glaucoma and ocular hypertension. METHODS: From January 2006 to August 2006 SLT was performed in fertile female patients with primary open-angle glaucoma and ocular hypertension. Intraocular pressure (IOP) was measured at 1 hour, 1 day, 1 week, 1 month, 3 months, and 6 months after SLT. Anterior chamber reaction and ocular pain were checked on postoperative day 1. Peripheral anterior synechia was examined at postoperative 6 months. Any anti-glaucoma drug was discontinued after SLT procedure, and restarted when needed. RESULTS: 22 patients (40 eyes) of primary open-angle glaucoma (40 eyes) and ocular hypertension (10 eyes) were included. The mean baseline intraocular pressure was 31.6 mmHg. The mean IOP was 15.7 mmHg and the mean number of anti-glaucoma drug was 1.3+/-0.6 preoperatively. There was successful IOP decrease at postoperative 1 day (17.9 mmHg), 1 week (16.3 mmHg), 1 month (17.7 mmHg), 3 months (18.4 mmHg), and 6 months (19.0 mmHg). The mean number of anti-glaucoma drug was 0.43+/-0.7 (p=0.000) postoperatively. There were no significant postoperative complications in the 6-month follow-up period. CONCLUSIONS: SLT seems to be a safe and effective procedure for fertile female patients who need to discontinue or reduce the anti-glaucoma drugs.
Key Words: Fertility;Lactation;Open Angle Glaucoma;Pregnancy;Selective Laser Trabeculoplasty


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