J Korean Ophthalmol Soc > Volume 55(9); 2014 > Article
Journal of the Korean Ophthalmological Society 2014;55(9):1347-1354.
DOI: https://doi.org/10.3341/jkos.2014.55.9.1347    Published online September 15, 2014.
Long-Term Outcomes and Predictive Factors for Success of Selective Laser Trabeculoplasty.
Ji Young Lee, You Kyung Lee, Jung Il Moon, Myoung Hee Park
Department of Ophthalmology and Visual Science, Yeouido St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea. marypark@catholic.ac.kr
선택적 레이저 섬유주성형술의 장기임상효과와 성공예측인자의 분석
이지영⋅이유경⋅문정일⋅박명희
Department of Ophthalmology and Visual Science, Yeouido St. Mary’s Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea
Abstract
PURPOSE
To investigate long-term outcomes and predictive success factors for selective laser trabeculoplasty (SLT). METHODS: This retrospective chart review included 66 eyes of 66 glaucoma or ocular hypertension patients who underwent SLT between 2004 and 2011. All patients were followed-up for at least 2 years after the procedure. The intraocular pressure (IOP) was measured before the treatment, at postoperative 1 week, 1 month and every 3 months thereafter. Success was defined as an IOP decrease > or = 3 mm Hg or > or = 20% of the pretreatment IOP. The success rate was determined based on the Kaplan-Meier survival analysis. The predictive success factors were analyzed using the Cox proportional hazard model. RESULTS: The mean follow-up period was 4.78 +/- 1.98 (2-8) years. The mean pretreatment IOP was 23.79 +/- 2.83 mm Hg. The mean IOP reduction was 6.64 +/- 3.21 mm Hg. The success rates were 80%, 75%, 69%, 63%, 50%, 45%, and 42% after 1, 2, 3, 4, 5, 6, and 7 years, respectively. Only high pretreatment IOP was significantly correlated with success (p = 0.044). CONCLUSIONS: SLT was an effective tool for lowering IOP in glaucoma patients. Higher pretreatment IOP was a predictive success factor.
Key Words: Glaucoma;Intraocular pressure;Predictive factor;Selective laser trabeculoplasty (SLT);Success rate


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