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Efficacy of Selective Laser Trabeculoplasty in Phakic and Pseudophakic Eyes

Seymenoğlu, Göktuğ MD; Baser, Esin F. MD

doi: 10.1097/IJG.0b013e31829d9b77
Original Studies
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Purpose: To compare the efficacy of selective laser trabeculoplasty (SLT) in phakic and pseudophakic eyes in open-angle glaucoma and ocular hypertension.

Materials and Methods: Charts of 28 pseudophakic eyes and 60 phakic eyes that underwent 360-degree SLT were retrospectively reviewed. Patients were examined at 1, 3, 6, and 12 months. Treatment success was defined as ≥20% intraocular pressure (IOP) reduction, with no additional medications, laser, or glaucoma surgery. Mean IOP change, mean percentage of IOP reduction, and success rates for phakic and pseudophakic eyes were compared.

Results: Mean percentage of IOP reduction post-SLT at 1-, 3-, 6-, and 12-month visits were 21.4%, 25.8%, 24.8%, and 23.7%, respectively, in the pseudophakic group and 22.8%, 25.0%, 25.7%, and 21.2%, respectively, in the phakic group. Success rates ranged between 60% and 64% in the pseudophakic group and between 58% and 73% in the phakic group. No statistically significant differences in IOP change, percentage of IOP reduction, and success rate were seen between the groups at any of the post-SLT visits (P>0.05).

Conclusions: Application of 360-degree SLT seems to be an efficient and safe treatment option for the management of phakic and pseudophakic open-angle glaucoma and ocular hypertension.

Department of Ophthalmology, Faculty of Medicine, Celal Bayar University, Manisa, Turkey

Disclosure: The authors declare no conflict of interest.

Reprints: Göktuğ Seymenoğlu, MD, Department of Opthalmology, Faculty of Medicine, Celal Bayer University, Cengiz Topel Cad. No: 38/4, Karsiyaka, 35540 Izmir, Turkey (e-mail: gseymeno@gmail.com).

Received June 2, 2012

Accepted April 28, 2013

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