Selective laser trabeculoplasty vs micropulse laser trabeculoplasty in open-angle glaucoma

Clinical Ophthalmology
Benjamin AbramowitzTania Lamba

Abstract

The aim of this study was to prospectively compare the efficacy, safety, and tolerability of selective laser trabeculoplasty (SLT) vs micropulse laser trabeculoplasty (MLT) in reducing intraocular pressure (IOP) in open-angle glaucoma patients. In all, 38 patients were randomized to 360° MLT and 31 patients were randomized to 360° SLT. IOP was measured at intervals of 1 hour and 1, 1-6, 6-12, 6-24, 24-36, and 36-52 weeks. Patients completed a survey 1 week after the procedure. Patients with end-stage, neovascular, uveitic, or angle-closure glaucoma were excluded. Treatment response was defined as an IOP reduction of ≥20.0% or ≥3 mmHg from baseline. IOP was lowered to ≥3 mmHg from baseline among 37.0% of the micropulse patients and 36.0% of patients in the selective laser group at 24-52 weeks. Similarly, 29.6% of the micropulse patients and 36.0% of the selective laser patients experienced a 20.0% IOP decrease from baseline during the 24-52-week interval (P=0.77). Both groups revealed similar reductions in IOP as absolute values and percentage decreases from baseline at all intervals up to 52 weeks post treatment. There were more treatment failures in the micropulse group up to 52 weeks post laser treatment; however, this was no...Continue Reading

Citations

Oct 2, 2019·Vestnik oftalmologii·V P Erichev, R P Poleva
Jun 12, 2020·Scientific Reports·Matthew HirabayashiJella An
Nov 20, 2020·International Ophthalmology·Bhawesh Chandra SahaSanjeev Kumar
Sep 6, 2020·American Journal of Ophthalmology·Rouxi ZhouWei Wang

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NCT01956942

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