2M.D. Professor, Special Kariyer Eye Hospital, Isparta/TURKEY Purpose: To investigate the efficacy and safety of selective laser trabeculoplasty (SLT) in phakic and pseudophakic, Primary Open Angle Glaucoma (POAG) patients.
Materials and Methods: Phakic Group (Group I, n=16) and Pseudophakic Group (Group II, n=19) patients with POAG and intra ocular pressure (IOP) >21 mmHg, despite the medical treatment, had SLT treatment in this retrospective study. One hour after SLT, temporary IOP elevation and inflammatory reaction were controlled. Also, IOP before SLT and after SLT at 1 week, 1 month, 3 months, 6 months, and 12 months were evaluated. ‘Success’ was defined as; IOP decrease >3 mmHg or >% 20.
Results: Following the SLT, at each time interval, there was a significant IOP decrease in both Groups. There was no significant difference, between Group I and II, for IOP before SLT, IOP after SLT and side effects, at each time interval. IOP lowering effect of SLT was more significant in Group I than Group II, at 1.week and 3.months controls, although there were no significant difference at 1 month, 6 months and 12 months controls. Twelve months after SLT, mean IOP decrease were (Group I and II, in turn) 4.0±1.79 mmHg (p=0.001) and 5.11±2.38 mmHg (p=0.001). Success rates were 75% and 79%.
Conclusion: In pseudophakic and phakic patients, SLT has similar IOP decreasing effect and safety.
Keywords : Phakic, pseudophakic, selective laser trabeculoplasty