n African Vision and Eye Health - Selective laser trabeculoplasty in primary open-angle glaucoma : primary versus secondary treatment outcomes : original research

Volume 75 Number 1
  • ISSN : 2413-3183
  • E-ISSN: 2410-1516
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To compare the outcomes of selective laser trabeculoplasty (SLT) on treatment naive, primary open-angle glaucoma (POAG) patients with those of SLT on patients previously treated medically and/or surgically.

To establish whether age, race or gender influenced SLT outcomes.
A retrospective chart review of patients who received SLT therapy for POAG between June 2011 and January 2015.
Group A: Treatment-naive patients (n = 15). Group B: Prior medical therapy and/or prior surgery (n = 69).
Group A: Patients were treated with SLT therapy as first line, with medical treatment added as needed. Group B: Patients were treated with SLT therapy as additional therapy to medication and/or surgery. All patients were followed up for at least 1 year.
A reduction in intraocular pressure (IOP) of at least 20% from baseline was considered significant.
The following percentage reduction in IOP was found in the different groups: Group A 50.7%, Group B 32.0%, Africans 52.2%, Indians 29.8% and Caucasians 28.87%.
In our study patients, SLT achieved significant reductions in IOPs in treatment naiveas well as previously surgically and medically treated eyes with POAG. Statistically significant higher reductions in IOP at 1 year after SLT was seen in treatment-naive eyes, patients older than 70 years when compared with younger patients, female patients (54%) when compared with male patients (30%) and in patients of African (52%) descent compared with Caucasians (30%).

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