Summary:
Theprospective clinical studyof the selective laser trabeculoplasty(SLT)bymeans
the Coherent Selecta 7000 laser (wave length 532 nm) was conducted. Totally 108.7
± 18.3 laser non-overlapping spots (mean energy level 1.04 ± 0.22 mJ) along the
whole circle of the trabecular meshwork in the anterior chamber angle were
applied. The study included 258 eyes of 146 patients (50 of them were men) with
glaucoma. The mean age of the whole group was 55.9 ± 13.7 years. The group of
unsuccessfully treated patients (30 patients, 41 eyes) in whom the intraocular
pressure (IOP) elevated from 23.2 ± 3.7 mm Hg in 4.7 % (measured 493 ± 474 days
after the treatment) during the followup,wasremoved fromthe study. In the group
with good response to the SLT, 116 patients (217 eyes) were evaluated 650 ± 405
days after treatment. Before treatment, in this group the IOP was 23.9 ± 3.0 mm
Hg, at the end of the study the IOP was lowered by 4.5 ± 2.9 mm Hg, in total by
18.6 %. IOP decrease was more pronounced in patients with higher level of IOP at
the beginning. Immediately after SLT, no significant rising of the IOP level was
recorded. Selective laser trabeculoplasty preserves the integrity of the trabecular
meshwork of the anterior chamber angle, and is a safe and clinically effective
method of treatment of different forms of glaucoma and ocular hypertension.
Key words:
glaucoma, laser trabeculoplasty, SELECTA laser
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