Slective laser trabeculoplasty (SLT):
clnical long term results

K. Czechowicz-Janicka, A. Piekarniak and J.T. Wasyluk

Department of Ophthalmology, Medical Center of Postgraduate Education, Warsaw, Poland

Objective: Evaluation of the long term effects of  selective laser trabeculoplasty (SLT) in primary open angle glaucoma (POAG )patients.

Material and methods: SLT  Q switch  Nd:YAG double frequency 532 nm was done in 94 POAG patients (110 eyes). IOP was measured before the procedure and after 24 hrs, 1, 6 and 12 months. Decrease in IOP according to detected amount of pigment in the angle was analysed.

Results: Mean IOP of 25.7 mmHg before the procedure has been significantly decreased  (of mean 7.0 mmHg) 12 months after  SLT was done. Degree of these changes corresponded to the amount of  pigment found in the angle. In eyes without pigment  decrease in IOP was not significant (mean: 4.2 mmHg), while in eyes with heavily pigmented angle IOP decrease was significant (mean: 8.0 mmHg).

Conclusion: 12 months after SLT procedure was done mean decrease of 7.0 mmHg in IOP in primary open angle glaucoma patients was achieved. Degree of  IOP  decrease corresponded to the amount of pigment found in the angle.