AIM:To evaluate the short-term results of 360°selective laser trabeculoplasty(SLT)in the treatment of patients with previously failed deep sclerectomy(DS).METHODS:Patients with open angle glaucoma with prior fail...AIM:To evaluate the short-term results of 360°selective laser trabeculoplasty(SLT)in the treatment of patients with previously failed deep sclerectomy(DS).METHODS:Patients with open angle glaucoma with prior failed DS and insufficient postoperative intraocular pressure(IOP)control were enrolled.Preoperative and postoperative IOP were measured using a Goldmann applanation tonometer.One hundred non-overlapping laser shots were applied over 360°.IOP was measured before SLT and 1h after SLT.Follow-up was scheduled at the first week and at the first,third,and sixth months thereafter.RESULTS:A total of 22 eyes(13 patients)were included in the study with a male:female ratio of 1:1 and a mean age of 51.73±13.51y(28-73y).The mean IOP prior to SLT was 18.41±5.24 mm Hg,which decreased to 15.91±3.56(P=0.071),15.05±4.53(P=0.097),13.91±2.67(P<0.001)and 13.95±1.84 mm Hg;(P<0.001)at 1wk,1,3,and 6mo of follow-up,respectively.This change was statistically significant at the 3mo and 6mo follow-up.The number of anti-glaucoma medications dropped significantly throughout the follow-up period(P=0.014).CONCLUSION:360°SLT can be an ef fective complementary treatment after failed DS to decrease IOP and anti-glaucoma medications,thus improving patient compliance and tolerance.展开更多
文摘AIM:To evaluate the short-term results of 360°selective laser trabeculoplasty(SLT)in the treatment of patients with previously failed deep sclerectomy(DS).METHODS:Patients with open angle glaucoma with prior failed DS and insufficient postoperative intraocular pressure(IOP)control were enrolled.Preoperative and postoperative IOP were measured using a Goldmann applanation tonometer.One hundred non-overlapping laser shots were applied over 360°.IOP was measured before SLT and 1h after SLT.Follow-up was scheduled at the first week and at the first,third,and sixth months thereafter.RESULTS:A total of 22 eyes(13 patients)were included in the study with a male:female ratio of 1:1 and a mean age of 51.73±13.51y(28-73y).The mean IOP prior to SLT was 18.41±5.24 mm Hg,which decreased to 15.91±3.56(P=0.071),15.05±4.53(P=0.097),13.91±2.67(P<0.001)and 13.95±1.84 mm Hg;(P<0.001)at 1wk,1,3,and 6mo of follow-up,respectively.This change was statistically significant at the 3mo and 6mo follow-up.The number of anti-glaucoma medications dropped significantly throughout the follow-up period(P=0.014).CONCLUSION:360°SLT can be an ef fective complementary treatment after failed DS to decrease IOP and anti-glaucoma medications,thus improving patient compliance and tolerance.
