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Article: Selective laser trabeculoplasty for primary angle closure with persistently elevated intraocular pressure after iridotomy
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TitleSelective laser trabeculoplasty for primary angle closure with persistently elevated intraocular pressure after iridotomy
 
AuthorsHo, CL2
Lai, JSM5
Aquino, MV4
Rojanapongpun, P3
Wong, HT7
Aquino, MC8
Gerber, Y6
Belkin, M
Barkana, Y1
 
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
 
CitationJournal Of Glaucoma, 2009, v. 18 n. 7, p. 563-566 [How to Cite?]
DOI: http://dx.doi.org/10.1097/IJG.0b013e318193c2d1
 
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.
 
ISSN1057-0829
2013 Impact Factor: 2.427
 
DOIhttp://dx.doi.org/10.1097/IJG.0b013e318193c2d1
 
ISI Accession Number IDWOS:000269939200011
 
ReferencesReferences in Scopus
 
DC FieldValue
dc.contributor.authorHo, CL
 
dc.contributor.authorLai, JSM
 
dc.contributor.authorAquino, MV
 
dc.contributor.authorRojanapongpun, P
 
dc.contributor.authorWong, HT
 
dc.contributor.authorAquino, MC
 
dc.contributor.authorGerber, Y
 
dc.contributor.authorBelkin, M
 
dc.contributor.authorBarkana, Y
 
dc.date.accessioned2010-09-06T10:09:05Z
 
dc.date.available2010-09-06T10:09:05Z
 
dc.date.issued2009
 
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.
 
dc.description.natureLink_to_subscribed_fulltext
 
dc.identifier.citationJournal Of Glaucoma, 2009, v. 18 n. 7, p. 563-566 [How to Cite?]
DOI: http://dx.doi.org/10.1097/IJG.0b013e318193c2d1
 
dc.identifier.doihttp://dx.doi.org/10.1097/IJG.0b013e318193c2d1
 
dc.identifier.epage566
 
dc.identifier.hkuros165640
 
dc.identifier.isiWOS:000269939200011
 
dc.identifier.issn1057-0829
2013 Impact Factor: 2.427
 
dc.identifier.issue7
 
dc.identifier.openurl
 
dc.identifier.pmid19745672
 
dc.identifier.scopuseid_2-s2.0-70349755995
 
dc.identifier.spage563
 
dc.identifier.urihttp://hdl.handle.net/10722/90345
 
dc.identifier.volume18
 
dc.languageeng
 
dc.publisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.glaucomajournal.com
 
dc.publisher.placeUnited States
 
dc.relation.ispartofJournal of Glaucoma
 
dc.relation.referencesReferences in Scopus
 
dc.rightsJournal of Glaucoma. Copyright © Lippincott Williams & Wilkins.
 
dc.subjectAngle closure
 
dc.subjectAngle closure glaucoma
 
dc.subjectGlaucoma
 
dc.subjectIridotomy
 
dc.subjectSelective laser trabeculoplasty
 
dc.titleSelective laser trabeculoplasty for primary angle closure with persistently elevated intraocular pressure after iridotomy
 
dc.typeArticle
 
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<contributor.author>Wong, HT</contributor.author>
<contributor.author>Aquino, MC</contributor.author>
<contributor.author>Gerber, Y</contributor.author>
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Author Affiliations
  1. Assaf Harofeh Medical Center
  2. Singapore National Eye Centre
  3. Chulalongkorn University
  4. St. Luke's Medical Center Quezon City
  5. United Christian Hospital Hong Kong
  6. Tel Aviv University
  7. Tan Tock Seng Hospital
  8. National University Hospital, Singapore