J Med Assoc Thai 2010; 93 (2):211

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One Year Results of Selective Laser Trabeculoplasty in the Treatment of Primary Open Angle Glaucoma
Thatsnarong D Mail, Phoksunthorn T , Ngamchittiampai C

Objective: To evaluate the efficacy and safety of selective laser trabeculoplasty (SLT) as a treatment of primary
open angle glaucoma (POAG).

Material and Method:
In a prospective clinical study, 21 eyes suffering from POAG were treated with SLT over
inferior 180 degrees of trabecular meshwork. The intraocular pressure (IOP) was measured before and 1 hour,
1 week, and 1, 3, 6,and 12 months after the treatment. The glaucoma medications were continued on the same
regimen during the study period.

Results: The mean preoperative IOP was 18.6 mmHg (SD 2.2). The mean IOP reduction were 4.9 mmHg
(26.3%) 1 hour after SLT, 2.6 mmHg (14.0%) 1 week after SLT, 4.0 mmHg (21.5%) 1 month after SLT, 3.5 mmHg
(18.8%) 3 months after SLT, 3.7 mmHg (19.9%) 6 months after SLT, and 3.3 mmHg (17.7%) 12 months after
SLT. There were minimal adverse reactions including conjunctival injection and mild anterior chamber reaction.

Conclusion: SLT is a safe and effective procedure to reduce IOP in POAG patients.

Keywords: Selective laser trabeculoplasty, Primary open angle glaucoma

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