Clinical results of selective laser trabeculoplasty in silicone oil-induced secondary glaucoma

Graefes Arch Clin Exp Ophthalmol. 2014 Jun;252(6):983-7. doi: 10.1007/s00417-014-2593-7. Epub 2014 Mar 27.

Abstract

Background: To analyze the efficacy of selective laser trabeculoplasty (SLT) on silicone oil-induced secondary glaucoma in terms of intraocular pressure (IOP).

Patients and methods: 42 patients (42 eyes) with silicone oil-induced secondary glaucoma were selected, and SLT was performed with 360° of the trabecular meshwork. During the 12-month follow-up, the complications, IOP, and antiglaucoma medication usage were observed.

Results: The mean IOP decreased from 23.1 ± 1.9 mmHg before treatment to 18.4 ± 3.7 mmHg after treatment (p < 0.05). Mean number of antiglaucoma medications used for IOP control also decreased from 2.17 ± 1.21 to 1.25 ± 0.89 (p < 0.05). The 12-month success rate in the total sample was 59.5 %. The success rate was 60.7 % (17 eyes) and 57.1 % (eight eyes) for phakic and aphakic eyes, respectively (p > 0.05) CONCLUSIONS: SLT is a safe and effective option for the treatment of patients with silicone oil-induced secondary glaucoma.

MeSH terms

  • Antihypertensive Agents / administration & dosage
  • Female
  • Glaucoma / chemically induced
  • Glaucoma / physiopathology
  • Glaucoma / surgery*
  • Humans
  • Intraocular Pressure / physiology
  • Laser Therapy / methods*
  • Lasers, Solid-State / therapeutic use*
  • Male
  • Middle Aged
  • Retinal Detachment / surgery
  • Retrospective Studies
  • Silicone Oils / adverse effects*
  • Tonometry, Ocular
  • Trabeculectomy / methods*
  • Treatment Outcome

Substances

  • Antihypertensive Agents
  • Silicone Oils