文章基本信息

标题：Long-Term Outcomes and Predictive Factors for Success of Selective Laser Trabeculoplasty
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作者：Lee, Ji Young ; Lee, You Kyung ; Moon, Jung Il 等
期刊名称：Journal of the Korean Ophthalmological Society
印刷版ISSN：0378-6471
出版年度：2014
卷号：55
期号：9
页码：1347-1354
DOI：10.3341/jkos.2014.55.9.1347
语种：Korean
出版社：The Korean Ophthalmological Society
摘要：Purpose
To investigate long-term outcomes and predictive success factors for selective laser trabeculoplasty (SLT).
Methods
This retrospective chart review included 66 eyes of 66 glaucoma or ocular hypertension patients who underwent SLT between 2004 and 2011. All patients were followed-up for at least 2 years after the procedure. The intraocular pressure (IOP) was measured before the treatment, at postoperative 1 week, 1 month and every 3 months thereafter. Success was defined as an IOP decrease ≥ 3 mm Hg or ≥ 20% of the pretreatment IOP. The success rate was determined based on the Kaplan-Meier survival analysis. The predictive success factors were analyzed using the Cox proportional hazard model.
Results
The mean follow-up period was 4.78 ± 1.98 (2-8) years. The mean pretreatment IOP was 23.79 ± 2.83 mm Hg. The mean IOP reduction was 6.64 ± 3.21 mm Hg. The success rates were 80%, 75%, 69%, 63%, 50%, 45%, and 42% after 1, 2, 3, 4, 5, 6, and 7 years, respectively. Only high pretreatment IOP was significantly correlated with success ( p = 0.044).
Conclusions
SLT was an effective tool for lowering IOP in glaucoma patients. Higher pretreatment IOP was a predictive success factor.
关键词：Glaucoma; Intraocular pressure; Predictive factor; Selective laser trabeculoplasty (SLT); Success rate