Systematic review and meta-analysis on the efficacy of selective laser trabeculoplasty in open-angle glaucoma.

Abstract:

:Selective laser trabeculoplasty (SLT) is a relatively new type of laser used in treating open-angle glaucoma (OAG) and is reported to be equally efficacious to a first-line medication and argon laser trabeculoplasty (ALT). We summarize available evidence for considering SLT as an alternative treatment in OAG through systematic review and meta-analysis. Among OAG patients who range from newly diagnosed to those on maximally tolerated medical therapy, SLT results in a 6.9-35.9% intraocular pressure (IOP) reduction. Complications are rare and include an IOP spike requiring surgery, persistent macular edema, and corneal haze and thinning. Meta-analysis of randomized, controlled trials shows that SLT is non-inferior to ALT and medication in IOP reduction and also in achieving treatment success. Number of medications reduction is similar between SLT and ALT. More robust evidence is needed to determine its efficacy as a repeated procedure.

journal_name

Surv Ophthalmol

journal_title

Survey of ophthalmology

authors

Wong MO,Lee JW,Choy BN,Chan JC,Lai JS

doi

10.1016/j.survophthal.2014.06.006

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

36-50

issue

1

eissn

0039-6257

issn

1879-3304

pii

S0039-6257(14)00131-3

journal_volume

60

pub_type

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