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Clinical outcomes of patterned laser trabeculoplasty as adjuvant therapy in open angle glaucoma and ocular hypertension.
Espinoza, Gustavo; Castellanos, Leonardo; Rodriguez-Una, Ignacio; Camacho, Paul Anthony; Parra, Juan Camilo.
Afiliação
  • Espinoza G; Fundación Oftalmologica de Santander FOSCAL, Floridablanca, Santander, Colombia.
  • Castellanos L; Fundación Oftalmologica de Santander FOSCAL, Floridablanca, Santander, Colombia.
  • Rodriguez-Una I; Instituto Oftalmologico Fernandez-Vega, University of Oviedo, Oviedo, Asturias 33012, Spain.
  • Camacho PA; Fundación Oftalmologica de Santander FOSCAL, Floridablanca, Santander, Colombia.
  • Parra JC; Facultad de Salud, Universidad Autonoma de Bucaramanga, Bucaramanga, Santander, Colombia.
Int J Ophthalmol ; 11(4): 635-640, 2018.
Article em En | MEDLINE | ID: mdl-29675383
AIM: To assess the efficacy and safety of patterned laser trabeculoplasty (PLT) as an adjunctive treatment in open angle glaucoma (OAG) or ocular hypertension (OHT) patients who were under antiglaucoma medical treatment. METHODS: This study was a retrospective review of primary or secondary OAG patients and OHT patients with medically uncontrolled (≥18 mm Hg) intraocular pressure (IOP) who underwent 360° PLT from June 2016 to August 2016. Follow-up visits at week 1, and 1, 3 and 6mo were performed. IOP, best corrected visual acuity (BCVA), complications and eye drop glaucoma medication were recorded at each follow-up visit. Success was defined as IOP reduction ≥20% from baseline. RESULTS: Forty-one eyes of 25 patients were included in this study. Pre-treatment mean IOP was 20.2±1.6 mm Hg. After PLT, IOP was 19.3±5.2, 16.1±2.7, 17.1±3.7 and 16.3±3.5 mm Hg, at 1wk, 1, 3 and 6mo, respectively. IOP reduction from baseline was statistically significant from the first month, remaining stable at 6mo (P<0.001). PLT success at 6mo of follow-up was 48.78%. The number of glaucoma medication per eye (P=0.10) and the mean BCVA both remained constant (P=0.37). Complications included transient IOP spikes in 4 eyes (9.8%) and peripheral anterior synechiae in 7 eyes (17.1%). CONCLUSION: PLT is an effective and safe method for the management of patients with OHT or OAG as an adjunctive therapy. Additional larger studies should be designed to verify the long-term stability of IOP reduction with this laser technology.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Int J Ophthalmol Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Colômbia País de publicação: China

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Int J Ophthalmol Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Colômbia País de publicação: China