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Selective laser trabeculoplasty for glaucoma after corneal refractive surgery

Poster Details

First Author: S.Lee SOUTH KOREA

Co Author(s):                        

Abstract Details

Purpose:

To determine the efficacy and safety of Selective laser trabeculoplasty(SLT) for glaucoma patients with history of LASIK or LASEK.

Setting:

Yonsei Plus Eye Center

Methods:

Consecutive glaucomatous adults underwent SLT(Lumenis Selecta) on one or both eyes applying 360 degree treatment of 120 to 140 closely spaced burns(400um spot size for 3 ns; range 1.1 -1.4 mJ). SLT was performed inferiorly for 6 h and then added SLT performed superiorly for 6 h, 1 week later. Complete slit lamp biomicroscopy, visual acuity, IOP, gonioscopy, and mydriatic funduscopy were performed pre-and posttreatment for 9 months. Significance of change in intraocular pressure(IOP) from baseline at 1,3,6, 9 months was assessed by two-tailed paired t-test.

Results:

17 eyes of 10 patients with open angle glaucoma were enrolled, Age (47years), male:female ratio 4:6. IOP decreased from 14.2 to 11.3 mmHg 1 week after SLT(inferior 180 degrees). Six months later A, IOP was stable at 12 mmHg, and No serious complication was observed.

Conclusions:

SLT was effective in producing clinically significant IOP reduction among glaucoma patients with or without prior corneal refractive surgery. But longer follow up and more patients data collection are needed.

Financial Disclosure:

NONE

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