Predictive Factors for Outcomes of Selective Laser Trabeculoplasty.

Scientific Reports
Matthew T HirabayashiJella A An

Abstract

We sought to  determine predictive factors for selective laser trabeculoplasty (SLT) outcome. 252 eyes from 198 adult patients with open-angle glaucoma who underwent SLT between July 2016 and February 2018 with a minimum 6 month follow up were reviewed. We defined success as ≥20% IOP reduction or ≥1 medication reduction without an IOP lowering procedure. We also evaluated the relationship of these factors to postoperative IOP elevation >5 mmHg (IOP spikes). Our primary outcome measure was association between age, type and severity of glaucoma, pigmentation of the trabecular meshwork (PTM), total energy delivered, and baseline intraocular pressure (IOP) with success. At 2 and 6 months, 33.6% (76/226) and 38.5% (97/252) of eyes met success criteria respectively. Baseline IOP > 18 mmHg was significantly associated with success both at 2 and 6 months, reducing IOP by 5.4 ± 5.3 mmHg (23.7% reduction), whereas those with lower baseline remained at -0.7 ± 4.6 mmHg (4.9% increase) at 6 months (P < 0.001). No other baseline characteristics significantly predicted success or IOP spikes. Patients with higher baseline IOPs had greater success rates and mean IOP reduction at both 2 and 6 months following SLT. Age, type and severity of glauc...Continue Reading

References

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Citations

Nov 20, 2020·International Ophthalmology·Bhawesh Chandra SahaSanjeev Kumar
Jan 21, 2021·Current Opinion in Ophthalmology·Marc Töteberg-Harms, Frances Meier-Gibbons
Jun 8, 2021·European Journal of Ophthalmology·Ibrahim AlObaidaLeyla Ali Aljasim
Jul 22, 2021·American Journal of Ophthalmology·Toshit VarshneyViney Gupta
Aug 8, 2021·Journal of Clinical Medicine·Aleksandra ZgryźniakAnna Turno-Kręcicka
Feb 6, 2022·Scientific Reports·Ricardo Y AbeTiago S Prata

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