J Korean Ophthalmol Soc > Volume 51(7); 2010 > Article
Journal of the Korean Ophthalmological Society 2010;51(7):974-980.
DOI: https://doi.org/10.3341/jkos.2010.51.7.974    Published online July 15, 2010.
Two-year Follow-up of Selective Laser Trabeculoplasty as Initial and Adjunctive Treatment for Ocular Hypertension and Open Angle Glaucoma.
Sang Jeong Moon, Eun Su Choi, Jong Il Park, Kyung Hun Lee
Sungmo Eye Hospital, Busan, Korea. sungmo@sungmo.co.kr
약물 사용에 따른 선택적 레이저 섬유주성형술의 장기 안압하강 효과 비교
문상정ㆍ최은수ㆍ박종일ㆍ이경헌
Sungmo Eye Hospital, Busan, Korea
Abstract
PURPOSE
To assess the efficacy and safety of selective laser trabeculoplasty (SLT) as initial and adjunctive treatment for ocular hypertension and open angle glaucoma. METHODS: Twenty-four eyes with ocular hypertension and 63 eyes with open angle glaucoma were treated with a frequency-doubled, Q-switched Nd:YAG laser. Intraocular pressure (IOP) was measured prelaser treatment, one week, one, two, three, six, 12, 18, and 24 months after treatment. RESULTS: The average pre-laser IOP of 87 eyes was 21.6 mmHg. The mean IOP percent reductions at 1 week, one, two, three, six, 12, 18, and 24 months were 15.3%, 20.0%, 21.3%, 19.6%, 23.4%, 23.4%, 20.5%, and 20.9%, respectively. The IOP percent reductions in the initial treatment group at one, 12, and 24 months were 21.1%, 24.8%, and 22.8% respectively. The IOP percent reductions in the adjunctive treatment group at 1, 12, and 24 months were 19.6%, 22.9%, and 20.2% respectively. There were no differences in IOP percent reduction between the initial treatment group and the adjunctive treatment group. CONCLUSIONS: Selective laser trabeculoplasty has shown reasonable efficacy in lowering IOP over two-year follow-up period as initial and adjunctive treatment for ocular hypertension and open angle glaucoma.
Key Words: Open angle glaucoma;Ocular hypertension;Selective laser trabeculoplasty


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