J Korean Ophthalmol Soc > Volume 53(2); 2012 > Article
Journal of the Korean Ophthalmological Society 2012;53(2):291-296.
DOI: https://doi.org/10.3341/jkos.2012.53.2.291    Published online February 15, 2012.
Comparison of 180degrees and 360degrees Selective Laser Trabeculoplasty.
Yoon Soo Jang, Joung Mok Kim, Tae Hoon Lim, Hwang Ki Kim, Yong Ho Sohn
1Department of Ophthalmology, Kim's Eye Hospital, Myung-Gok Eye Research Institute, Konyang University, Seoul, Korea.
2Seoul Bright Eye Clinic, Seoul, Korea.
3WooRi Ophthalmic Clinic, Wonju, Korea. dog408@gmail.com
180도와 360도 선택적 레이저섬유주성형술의 안압 하강효과 비교
장윤수1⋅김정목2⋅임태훈3⋅김황기1⋅손용호1
Department of Ophthalmology, Kim’s Eye Hospital, Myung-Gok Eye Research Institute, Konyang University1, Seoul, Korea Seoul Bright Eye Clinic2, Seoul, Korea WooRi Ophthalmic Clinic3, Wonju, Korea
Abstract
PURPOSE
To compare the effect and safety of two regimens of Selective Laser Trabeculoplasty (SLT), SLT on 180degrees of trabecular meshwork and SLT with 100 laser spots on 360degrees of trabecular meshwork in patients with primary open-angle glaucoma and ocular hypertension. METHODS: In a retrospective clinical study, the authors compared the pressure-lowering effects of SLT in two groups of patients; group 1 (83 patients) received SLT on 180degrees, group 2 (30 patients) on 360degrees of trabecular meshwork. The clinical outcome indicators included intraocular pressure (IOP) at one day, one week, one month, two months, three months and six months after SLT, and the anterior chamber reaction at post-laser one day. RESULTS: There was no statistically significant difference in the IOP reduction between these two regimens after six months. The anterior chamber reactions in the two groups were significantly different (group 1; 0.61 +/- 0.64, group 2; 1.25 +/- 0.83, p = 0.001). The success rate of group 2 (43.3%) was not different from that of group 1 (31.3%; p = 0.23). CONCLUSIONS: SLT on 180degrees of trabecular meshwork had a similar effect compared to that of SLT on 360degrees of trabecular meshwork in terms of IOP reduction. The authors of the present study suggest that 180degrees SLT is the safest procedure with regard to success rate and complications.
Key Words: Glaucoma;Ocular hypertension;Primary open-angle glaucoma;Selective laser trabeculoplasty


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