laser trabeculoplasty
Recently Published Documents


TOTAL DOCUMENTS

874
(FIVE YEARS 168)

H-INDEX

42
(FIVE YEARS 5)

2022 ◽  
Vol 100 (S267) ◽  
Author(s):  
Cheour Monia ◽  
Ouederni Meriem ◽  
Nafaa Fehmy ◽  
Rym Maamouri ◽  
Sassi Hela

Author(s):  
Olha V. Levytska ◽  
Igor Ya. Novytskyy

Hypotensive effect of endotrabeculectomy was compared with that of selective laser trabeculoplasty in patients with primary open-angle glaucoma (POAG). We evaluated 44 patients (44 eyes) with POAG. In the first group (23 patients), endotrabeculectomy (trabecular ablation through the angle of anterior chamber) was performed, and in the second group (21 patients) the patients underwent selective laser trabeculoplasty. When comparing the intraocular pressure (IOP), it was found that the difference between preoperative and postoperative IOP was significant up to 6 months of follow-up in both groups (p < 0.05), however, hypotensive effect in the first group was more pronounced (7.58 vs. 1.55 mmHg, respectively). When comparing the number of hypotensive medications used before and after glaucoma surgery, it was found that the difference in patients of the first group was significant throughout the observation period (p = 0.028), while in patients of the second group there was no significant difference from the 3rd month of observation. The number of topical drugs to reduce IOP decreased by 1.44 in the first group (p < 0.05) and by 0.33 in the second group (p = 0.109). Endotrabeculectomy, as well as selective laser trabeculoplasty, showed significant hypotensive effect in patients with POAG within 6 months of observation, however, hypotensive effect of endotrabeculectomy significantly overweighted that of SLT. Keywords: endotrabeculectomy, selective laser trabeculoplasty, intraocular pressure, primary open-angle glaucoma.


Author(s):  
Christina Gack ◽  
Robert Laemmer ◽  
Bettina Hohberger

Abstract Purpose Selective laser trabeculoplasty (SLT) is known as a safe laser therapy for an effective reduction in intraocular pressure (IOP). The aim of this study was to examine the therapeutic success of SLT in open-angle glaucoma (OAG) patients with a long-term follow-up of 5 years. Methods Forty-six eyes of forty OAG patients, some with previous intraocular surgery, underwent SLT (24 males, 16 females). Therapeutic success was categorized as: category (I) – IOP reduction ≤ 21 mmHg and > 20% compared to baseline IOP with additional glaucoma medication; category (II) – IOP reduction ≤ 18 mmHg and > 30% compared to baseline IOP with additional glaucoma medication; category (III) – IOP reduction ≤ 18 mmHg without any additional glaucoma medication at all follow-ups. Therapeutic failure was defined as the necessity of any further glaucoma surgery (IV). Results (1) SLT was well tolerated in all eyes, and no severe side effects or complications were recorded. (2) After 1-year follow-up, therapeutic success was 27% (I), 30% (II), and 3% (III). The therapeutic failure rate was 40% (IV). (3) After 2 years follow-up, therapeutic success was 7% (I), 10% (II), and 0% (III). The therapeutic failure rate was 83% (IV). (4) After 3 years follow-up, the therapeutic failure rate increased up to 100% (IV). Conclusion SLT seemed to be effective in lowering IOP in the first year in the present cohort, however, the long-term effect is low and additional local therapy or surgical interventions are necessary.


2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Karin R. Pillunat ◽  
Robert Herber ◽  
Stephanie Wolfram ◽  
Carolin S. Jasper ◽  
Soeren Waibel ◽  
...  

Author(s):  
Виктор Афанасьевич Иванов ◽  
Борис Дмитриевич Жидких ◽  
Татьяна Игоревна Субботина ◽  
Дарья Николаевна Бельчикова ◽  
Александр Викторович Иванов ◽  
...  

Во многих странах продолжается увеличение заболеваемости первичной открытоугольной глаукомой, а гериатрический статус пациентов ухудшается. В связи с этим актуальным является коррекция гериатрического статуса. Цель исследования - изучение гериатрического статуса пациентов, страдающих ПОУГ, после проведения селективной лазерной трабекулопластики. Результаты исследования базируются на комплексном офтальмологическом и гериатрическом обследовании до и после проведения селективной лазерной трабекулопластики. При изучении гериатрического статуса проведен анализ изменений таких гериатрических синдромов как зрительный дефицит, индекс качества жизни, депрессивный синдром. В ходе исследования установлено позитивное влияние селективной лазерной трабекулопластики на величину снижения зрительного дефицита. Так, острота зрения без коррекции и максимальная корригированная острота зрения после проведенного оперативного вмешательства повысились соответственно с 0,51±0,02 до 0,6±0,01 и с 0,62±0,02 до 0,68±0,01. Однако селективная лазерная трабекулопластика не изменила уровень депрессии, а интегральный показатель качества жизни имел тенденцию к снижению с 438,6±3,9 баллов до 429,4±3,8 баллов. Это указывает на необходимость коррекции гериатрического статуса больных с первичной открытоугольной глаукомой In many countries, the incidence of primary open-angle glaucoma continues to increase, and the geriatric status of patients is deteriorating. In this regard, the correction of geriatric status is relevant. The aim of the study was to study the geriatric status of patients suffering from POAG after selective laser trabeculoplasty. The results of the study are based on a comprehensive ophthalmological and geriatric examination before and after selective laser trabeculoplasty. When studying the geriatric status, the analysis of changes in such geriatric syndromes as visual deficit, quality of life index, and depressive syndrome was carried out. The study found a positive effect of selective laser trabeculoplasty on the reduction of visual deficit. Thus, the visual acuity without correction and the maximum corrected visual acuity after the surgical intervention increased, respectively, from 0.51±0.02 to 0.6±0.01 and from 0.62±0.02 to 0.68±0.01. However, selective laser trabeculoplasty did not change the level of depression, and the integral indicator of quality of life tended to decrease from 438.6±3.9 points to 429.4±3.8 points. This indicates the need to correct the geriatric status of patients with primary open-angle glaucoma


2021 ◽  
Vol 14 (3) ◽  
pp. 25-34
Author(s):  
Benta G. Dzhashi ◽  
Sergei V. Balalin

BACKGROUND: Glaucoma remains one of the current problems of modern ophthalmology. The combination of glaucoma and cataract is observed in 1738.6% of cases, and glaucoma with pseudoexfoliative syndrome in 2050% of primary open-angle glaucoma cases. AIM: The aim of this work is to develop an effective and safe technology of complex energetic surgical treatment of the incipient primary open-angle glaucoma stage and cataract on the background of pseudoexfoliation syndrome on the basis of modified laser, hydrodynamic and ultrasound methods use. MATERIALS AND METHODS: 187 patients (187 eyes) with the incipient stage of primary open-angle glaucoma, cataract and pseudoexfoliation syndrome were examined. In the main group (111 eyes), selective laser trabeculoplasty followed by femtosecond laser-assisted cataract surgery with hydrodynamic trabeculocleaning was performed. Patients in the control group (76 eyes), after selective laser trabeculoplasty, underwent phacoemulsification according to the standard technique. RESULTS: The developed technology allowed to reach the hypotensive effect in 35.2% (t=23.0; р 0.001) of baseline intraocular pressure values, of individual intraocular pressure level without adding IOP-lowering medications in 27% of cases, stabilization of visual functions and morphometric indices of the optic disc during 2 years of follow-up in 97.3% of cases unlike the selective laser trabeculoplasty with subsequent phacoemulsification (21.2, 5.3 and 81.6% respectively). The patients of the main group had significantly lower energy expenditure during the stage of phacoemulsification, a lower percentage of postoperative inflammatory reaction was noted, and a persistent hypotensive effect with stabilization of visual functions was achieved based on the results of a two-year follow-up. CONCLUSIONS: Femtosecond laser-assisted phacoemulsification, performed as part of complex treatment in patients with cataract and incipient stage of primary open-angle glaucoma, is a sparing method that minimizes surgical trauma and achieves a persistent hypotensive effect, reduces intraocular pressure to an individual level and stabilizes visual functions in 97.3% of cases.


Sign in / Sign up

Export Citation Format

Share Document