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TitleSelective laser trabeculoplasty in normal tension glaucoma
Abstract Nr.1019
PurposeCompare the effect of selective laser trabeculoplasty (SLT) in normal tension glaucoma (NTG) patients with its effect in primary open angle and ocular hypertension patients (POAG/OHT), considering both evolution of intraocular pressure (IOP) and mean number of medication.
MethodsProspective trial of 130 patients on glaucoma medication. Patients were offered SLT as a means to diminish medication use. Both eyes of the patient underwent SLT. Laser was performed over 360°, 100 spots, 3nsec, 400 μm. IOP and medication were recorded at 1 hour, 1 week, 1, 3, 6, 12 and 18 months. Results were compared with a control group of patients that remained on medication.
ResultsIOP changed little after SLT, as the groups were controlled under medication. Nevertheless, SLT was able to achieve additional IOP reduction: 9% and 6% respectively after 12 and 18 months in the NTG group and 19% and 2% respectively in the POAG/OHT group.
The use of medication lowered significantly: from a mean of 1.20 in the NTG group to 0.19 and from 1.71 to 0.31 in the POAG/OHT group. This was a significant change compared to the control groups. Mean reduction of medication after SLT was comparable between the NTG and the POAG/OHT group at 1 week, 1 month, 3,6 and 12 months.
ConclusionThe efficacy of SLT is not inferior in NTG patients compared to POAG or OHT patients.
Conflict of interestNo
Authors 1
Last nameDE KEYSER
InitialsM
DepartmentUniversity of Antwerp
CityAntwerp
Authors 2
Last nameDe Belder
InitialsM
DepartmentUniversity of Ghent
CityGent
Authors 3
Last nameDe Groot
InitialsV
DepartmentAntwerp University Hospital + University of Antwerp
CityAntwerp
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