EVALUATING THE EFFICACY OF SLT ON OAG PATIENTS TREATED WITH IOP LOWERING MEDICATIONS

Đỗ Tấn, Phạm Thị Thu Thủy, Nguyễn Đức Thịnh

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Abstract

Objectives: to evaluate the efficacy of SLT on OAG patients who has been treated medically. Patients and methods: Descriptive study on 40 eyes of 28 POAG and steroid-induced patients on IOP lowering medications who have been treated with 360o SLT. VA, VF, IOP, gonioscopy, optic disc, Laser settings, number of IOP lowering medications were evaluated before treatment and after treatment at 2 weeks, 1 month, 3 months. Results: mean age was 48,95 ± 15,76 year old, male/female ratio was comparable (55% và 45%); mean duration of disease was 21,33 ± 31,2 months; majority of patients were at advanced or severe stages. Mean IOP before laser was 27,48 ± 5,92 mmHg, which was lowered to 20,05 ± 4,36 mmHg at 2 weeks; 17,98 ± 5,73 mmHg at 1 month; 16,36 ± 3,58 mmHg at 3 months with equivalent percentage of 26%; 31%, 39% respectively. Number of IOP lowering agents before treatment were 3,05 ± 0.75, reduced to 2,15 ± 1,1 medications at 1 month and 1,76 ± 0,97 medications at 3 months. Eyes at early and severe stage had highest IOP lowering percentage at 3 months (37 – 42%), while eyes at advanced stage had highest IOP lowering at 1 month (38%). VA, VF and angle remained unchanged after laser. Complications of laser including eye irritation (7.5%), mild conjunctival hyperemia (10%) were usually transient. Conclusion: SLT was safe and effective in treating OAG patients already on IOP lowering medications.

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References

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