Clinical results of selective laser trabeculoplasty in silicone oil-induced secondary glaucoma.

Abstract

BACKGROUND:

To analyze the efficacy of selective laser trabeculoplasty (SLT) on silicone oil-induced secondary glaucoma in terms of intraocular pressure (IOP).

PATIENTS AND METHODS:

42 patients (42 eyes) with silicone oil-induced secondary glaucoma were selected, and SLT was performed with 360° of the trabecular meshwork. During the 12-month follow-up, the complications, IOP, and antiglaucoma medication usage were observed.

RESULTS:

The mean IOP decreased from 23.1 ± 1.9 mmHg before treatment to 18.4 ± 3.7 mmHg after treatment (p < 0.05). Mean number of antiglaucoma medications used for IOP control also decreased from 2.17 ± 1.21 to 1.25 ± 0.89 (p < 0.05). The 12-month success rate in the total sample was 59.5 %. The success rate was 60.7 % (17 eyes) and 57.1 % (eight eyes) for phakic and aphakic eyes, respectively (p > 0.05) CONCLUSIONS: SLT is a safe and effective option for the treatment of patients with silicone oil-induced secondary glaucoma.

• Authors: Miaomiao Zhang, Bin Li, Jianrong Wang, Wei Liu, Yan Sun, Xinyi Wu
• Journal: Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie (Graefes Arch Clin Exp Ophthalmol) Vol. 252 Issue 6 Pg. 983-7 (Jun 2014) ISSN: 1435-702X [Electronic] Germany
• PMID: 24671473 (Publication Type: Journal Article)

Chemical References

• Antihypertensive Agents
• Silicone Oils

Topics

• Antihypertensive Agents (administration & dosage)
• Female
• Glaucoma (chemically induced, physiopathology, surgery)
• Humans
• Intraocular Pressure (physiology)
• Laser Therapy (methods)
• Lasers, Solid-State (therapeutic use)
• Male
• Middle Aged
• Retinal Detachment (surgery)
• Retrospective Studies
• Silicone Oils (adverse effects)
• Tonometry, Ocular
• Trabeculectomy (methods)
• Treatment Outcome