Table of Contents
ISRN Ophthalmology
Volume 2013 (2013), Article ID 975281, 4 pages
http://dx.doi.org/10.1155/2013/975281
Clinical Study

Efficacy of Selective Laser Trabeculoplasty in Medically Uncontrolled Glaucoma

1Zonguldak Devrek Government Hospital, Devrek, Zonguldak, Turkey
2Beyoglu Eye Research and Education Hospital, Bereketzade Camii Sok No. 2 Beyoglu, Istanbul, Turkey
3Istanbul Medeniyet University, D-100 Karayolu Merdivenkoy Mevkii No. 6 Kadikoy, Istanbul, Turkey

Received 25 November 2012; Accepted 18 December 2012

Academic Editors: N. Ardjomand and T. Mimura

Copyright © 2013 Nihat Sayin et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose. To investigate the efficacy and safety of 360° selective laser trabeculoplasty (SLT) on medically uncontrolled open-angle glaucoma (OAG) and to evaluate the effects of antiglaucomatous medications on the results of therapy. Materials and Methods. The medical records of 62 eyes of 51 patients with OAG, which did not reach the targeted intraocular pressure (IOP) with maximum antiglaucomatous medical therapy, were retrospectively reviewed. Results. A statistically significant decrease was observed in the mean baseline IOP at 1, 3, 6, and 12 months of followup ( ). The success rate was 64.5% in all of the patients. The success rates did not vary significantly by taking 1, 2, 3, or 4 medications with the rates of 63.6%, 71.4%, 64.2%, and 58.3% ( ). The success rate of eyes on medication more or less than 6 months was 62.5% or 66.7%, respectively ( ). There was a positive correlation between mean baseline IOP and mean reduction in IOP from baseline ( , ). Conclusion. Application of 360° of SLT provided an effective and safe IOP reduction in medically uncontrolled OAG. Baseline IOP was found to be the most important factor in the efficacy of therapy.