High failure rate associated with 180 degrees selective laser trabeculoplasty.

Abstract:

PURPOSE:To determine the efficacy of selective laser trabeculoplasty (SLT) in a tertiary care referral center. PATIENTS AND METHODS:In this retrospective study of selective laser trabeculoplasty performed by five physicians, 94 eyes from 94 patients were included. A majority (83/92, 90%) underwent 180 degrees selective laser trabeculoplasty. Selective laser trabeculoplasty failure was defined in two ways: (1) IOP decrease <3 mm Hg (definition one), or (2) IOP decrease <20% (definition two), on two successive visits > or =4 weeks after SLT. RESULTS:Overall failure rates were 68% (64/94) and 75% (70/94) (by definitions one and two, respectively). By survival/life-table analysis, mean time to failure was 6 months and 5.5 months, by definitions one and two, respectively. By the end of the study (14.5 months), the failure rates were 86% and 92% by definitions one and two, respectively. By each definition, in both univariable and multivariable analysis, only lower baseline IOP was a significant predictor of failure. CONCLUSIONS:Selective laser trabeculoplasty had an overall low success rate in our tertiary clinic population, with overall failure rates of 68% to 74% in those who underwent 180 degrees selective laser trabeculoplasty.

journal_name

J Glaucoma

journal_title

Journal of glaucoma

authors

Song J,Lee PP,Epstein DL,Stinnett SS,Herndon LW Jr,Asrani SG,Allingham RR,Challa P

doi

10.1097/01.ijg.0000176939.43681.c2

keywords:

subject

Has Abstract

pub_date

2005-10-01 00:00:00

pages

400-8

issue

5

eissn

1057-0829

issn

1536-481X

pii

00061198-200510000-00013

journal_volume

14

pub_type

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