Selective laser trabeculoplasty in primary open-angle glaucoma: primary versus secondary treatment outcomes

<br><strong>Objective: <br></strong>To compare the outcomes of selective laser trabeculoplasty (SLT) on treatmentnaive, primary open-angle glaucoma (POAG) patients with those of SLT on patients previously treated medically and/or surgically. Secondary objectives: To establish...

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Main Authors: Goosen, E, Visser, L, Sartorius, B
Format: Journal article
Language:English
Published: AOSIS 2016
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author Goosen, E
Visser, L
Sartorius, B
author_facet Goosen, E
Visser, L
Sartorius, B
author_sort Goosen, E
collection OXFORD
description <br><strong>Objective: <br></strong>To compare the outcomes of selective laser trabeculoplasty (SLT) on treatmentnaive, primary open-angle glaucoma (POAG) patients with those of SLT on patients previously treated medically and/or surgically. Secondary objectives: To establish whether age, race or gender influenced SLT outcomes. <br><strong> Design:<br></strong> A retrospective chart review of patients who received SLT therapy for POAG between June 2011 and January 2015. <br><strong> Subjects:<br></strong> Group A: Treatment-naive patients (n = 15). Group B: Prior medical therapy and/or prior surgery (n = 69). <br><strong> Methods: <br></strong>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. <br><strong> Main outcome measures: <br></strong>A reduction in intraocular pressure (IOP) of at least 20% from baseline was considered significant. <br><strong> Results:<br></strong> 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%. <br><strong> Conclusion:<br></strong> In our study patients, SLT achieved significant reductions in IOPs in treatmentnaive as 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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spelling oxford-uuid:f874bd0b-ea54-475e-847e-641a6f6854ab2022-03-27T12:50:24ZSelective laser trabeculoplasty in primary open-angle glaucoma: primary versus secondary treatment outcomesJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:f874bd0b-ea54-475e-847e-641a6f6854abEnglishSymplectic ElementsAOSIS2016Goosen, EVisser, LSartorius, B<br><strong>Objective: <br></strong>To compare the outcomes of selective laser trabeculoplasty (SLT) on treatmentnaive, primary open-angle glaucoma (POAG) patients with those of SLT on patients previously treated medically and/or surgically. Secondary objectives: To establish whether age, race or gender influenced SLT outcomes. <br><strong> Design:<br></strong> A retrospective chart review of patients who received SLT therapy for POAG between June 2011 and January 2015. <br><strong> Subjects:<br></strong> Group A: Treatment-naive patients (n = 15). Group B: Prior medical therapy and/or prior surgery (n = 69). <br><strong> Methods: <br></strong>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. <br><strong> Main outcome measures: <br></strong>A reduction in intraocular pressure (IOP) of at least 20% from baseline was considered significant. <br><strong> Results:<br></strong> 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%. <br><strong> Conclusion:<br></strong> In our study patients, SLT achieved significant reductions in IOPs in treatmentnaive as 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%).
spellingShingle Goosen, E
Visser, L
Sartorius, B
Selective laser trabeculoplasty in primary open-angle glaucoma: primary versus secondary treatment outcomes
title Selective laser trabeculoplasty in primary open-angle glaucoma: primary versus secondary treatment outcomes
title_full Selective laser trabeculoplasty in primary open-angle glaucoma: primary versus secondary treatment outcomes
title_fullStr Selective laser trabeculoplasty in primary open-angle glaucoma: primary versus secondary treatment outcomes
title_full_unstemmed Selective laser trabeculoplasty in primary open-angle glaucoma: primary versus secondary treatment outcomes
title_short Selective laser trabeculoplasty in primary open-angle glaucoma: primary versus secondary treatment outcomes
title_sort selective laser trabeculoplasty in primary open angle glaucoma primary versus secondary treatment outcomes
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AT visserl selectivelasertrabeculoplastyinprimaryopenangleglaucomaprimaryversussecondarytreatmentoutcomes
AT sartoriusb selectivelasertrabeculoplastyinprimaryopenangleglaucomaprimaryversussecondarytreatmentoutcomes