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Article: Selective laser trabeculoplasty for primary angle closure with persistently elevated intraocular pressure after iridotomy

TitleSelective laser trabeculoplasty for primary angle closure with persistently elevated intraocular pressure after iridotomy
Authors
KeywordsAngle closure
Angle closure glaucoma
Glaucoma
Iridotomy
Selective laser trabeculoplasty
Issue Date2009
PublisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.glaucomajournal.com
Citation
Journal Of Glaucoma, 2009, v. 18 n. 7, p. 563-566 How to Cite?
Abstract
PURPOSE: To determine whether selective laser trabeculoplasty (SLT) can lower intraocular pressure (IOP) in eyes with chronic primary angle closure, elevated IOP, and a patent iridotomy. PATIENTS AND METHODS: Patients with chronic angle closure who had underwent iridotomy, had an IOP greater than 21 mm Hg and a gonioscopically visible pigmented trabecular meshwork for at least 90 degrees were enrolled. SLT was applied to open angle segments. Duration of follow-up was 6 months. RESULTS: Sixty eyes of 60 patients were enrolled. The mean baseline IOP was 24.6±2.5 mm Hg. At 6 months, IOP reduction of ≥3 mm Hg or 4 mm Hg was measured in 82% and 72% of eyes, respectively, and IOP reduction of ≥20% or 30% was measured in 54% and 24% of eyes, respectively. When only eyes that were treated with the same number or fewer medications were considered, these IOP reductions were measured in 67%, 58%, 43%, and 15%, respectively. During the study period 1 eye (1.7%) required trabeculectomy owing to IOP elevation shortly after the SLT. There were no other significant complications attributable to SLT. CONCLUSIONS: SLT seems to be a safe and effective method of reducing IOP in many eyes with primary angle closure and a patent iridotomy in which there is a sufficient extent of visible trabecular meshwork. © 2009 Lippincott Williams & Wilkins, Inc.
Persistent Identifierhttp://hdl.handle.net/10722/90345
ISSN
2013 Impact Factor: 2.427
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorHo, CLen_HK
dc.contributor.authorLai, JSMen_HK
dc.contributor.authorAquino, MVen_HK
dc.contributor.authorRojanapongpun, Pen_HK
dc.contributor.authorWong, HTen_HK
dc.contributor.authorAquino, MCen_HK
dc.contributor.authorGerber, Yen_HK
dc.contributor.authorBelkin, Men_HK
dc.contributor.authorBarkana, Yen_HK
dc.date.accessioned2010-09-06T10:09:05Z-
dc.date.available2010-09-06T10:09:05Z-
dc.date.issued2009en_HK
dc.identifier.citationJournal Of Glaucoma, 2009, v. 18 n. 7, p. 563-566en_HK
dc.identifier.issn1057-0829en_HK
dc.identifier.urihttp://hdl.handle.net/10722/90345-
dc.description.abstractPURPOSE: To determine whether selective laser trabeculoplasty (SLT) can lower intraocular pressure (IOP) in eyes with chronic primary angle closure, elevated IOP, and a patent iridotomy. PATIENTS AND METHODS: Patients with chronic angle closure who had underwent iridotomy, had an IOP greater than 21 mm Hg and a gonioscopically visible pigmented trabecular meshwork for at least 90 degrees were enrolled. SLT was applied to open angle segments. Duration of follow-up was 6 months. RESULTS: Sixty eyes of 60 patients were enrolled. The mean baseline IOP was 24.6±2.5 mm Hg. At 6 months, IOP reduction of ≥3 mm Hg or 4 mm Hg was measured in 82% and 72% of eyes, respectively, and IOP reduction of ≥20% or 30% was measured in 54% and 24% of eyes, respectively. When only eyes that were treated with the same number or fewer medications were considered, these IOP reductions were measured in 67%, 58%, 43%, and 15%, respectively. During the study period 1 eye (1.7%) required trabeculectomy owing to IOP elevation shortly after the SLT. There were no other significant complications attributable to SLT. CONCLUSIONS: SLT seems to be a safe and effective method of reducing IOP in many eyes with primary angle closure and a patent iridotomy in which there is a sufficient extent of visible trabecular meshwork. © 2009 Lippincott Williams & Wilkins, Inc.en_HK
dc.languageengen_HK
dc.publisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.glaucomajournal.comen_HK
dc.relation.ispartofJournal of Glaucomaen_HK
dc.rightsJournal of Glaucoma. Copyright © Lippincott Williams & Wilkins.en_HK
dc.subjectAngle closureen_HK
dc.subjectAngle closure glaucomaen_HK
dc.subjectGlaucomaen_HK
dc.subjectIridotomyen_HK
dc.subjectSelective laser trabeculoplastyen_HK
dc.titleSelective laser trabeculoplasty for primary angle closure with persistently elevated intraocular pressure after iridotomyen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1057-0829&volume=&spage=563&epage=566&date=2009&atitle=Selective+laser+trabeculoplasty+for+primary+angle+closure+with+persistently+elevated+intraocular+pressure+after+iridotomyen_HK
dc.identifier.emailLai, JSM: laism@hku.hken_HK
dc.identifier.authorityLai, JSM=rp00295en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1097/IJG.0b013e318193c2d1en_HK
dc.identifier.pmid19745672en_HK
dc.identifier.scopuseid_2-s2.0-70349755995en_HK
dc.identifier.hkuros165640en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-70349755995&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume18en_HK
dc.identifier.issue7en_HK
dc.identifier.spage563en_HK
dc.identifier.epage566en_HK
dc.identifier.isiWOS:000269939200011-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridHo, CL=34971173100en_HK
dc.identifier.scopusauthoridLai, JSM=7401939748en_HK
dc.identifier.scopusauthoridAquino, MV=7006961251en_HK
dc.identifier.scopusauthoridRojanapongpun, P=6602408971en_HK
dc.identifier.scopusauthoridWong, HT=12769132100en_HK
dc.identifier.scopusauthoridAquino, MC=16303224400en_HK
dc.identifier.scopusauthoridGerber, Y=6603203043en_HK
dc.identifier.scopusauthoridBelkin, M=7102808849en_HK
dc.identifier.scopusauthoridBarkana, Y=6602135020en_HK

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