2015, № 12 (187)

Yablokova N.V. OUR EXPERIENCE OF THE SELECTIVE LASER TRABECULOPLASTY IN THE OPEN-ANGLE GLAUCOMA TREATMENTAccording to the data of World Public Health Organization, glaucoma is one of the principal diseases that leads to the incurable blindness and ocular disability. The problem of glaucoma treatment, search for the known methods of treatment remains one of the most important directions in ophthalmology. One of the methods of IOP reduction in glaucoma treatment is selective laser trabeculoplasty (SLT), which was introduced into practice in 1997. SLT as the main or additional treatment is a rather safe and effective method of primary open-angle glaucoma treatment that allows using it in very different situations often occurring during the cure of such complicated disease as glaucoma. The paper presents the practical experience analysis of the selective laser trabeculoplasty in the open-angle glaucoma treatment in 213 patients (250 eyes) followed up from 1 month to 5 years [at average 15.45 ± 1.03 months], among whom there were patients with open-angle glaucoma of I–III stages, with both eyes operated on, with the only sound eye, patients undergone surgical treatment. The preoperative mean IOP in the examined group (250 eyes) was (19.70 ± 0.21) mm Hg. The postoperative mean IOP was (16.04 ± 0.22) mm Hg by the moment of the last examination [the difference was statistically significant (t = 11.98, p = 0.000)]. Analyzing the perimetry data MD index wasn't changed reliably: (6.77 ± 0.51) dB before the SLT and (7.15 ± 0.54) dB after the SLT (the differences were not significant enough (t = –0.51, p = 0.610). Analyzing the hypotensive regimen the tendency towards its reduction was noted during the whole follow-up. SLT gives the additional opportunity to a surgeon to act rather quickly, flexibly and properly in many cases of the open-angle glaucoma including the unusual ones, though as an additional therapy but that does not belittle its significance. SLT is effective, safe and may be successfully used at any stage of the open-angle glaucoma treatment.Key words: open-angle glaucoma, selective laser trabeculoplasty, intraocular pressure, different stages of the open-angle glaucoma.

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About this article

Author: Yablokova N.V.

Year: 2015

Editor-in-chief

Sergey Aleksandrovich
MIROSHNIKOV

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