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Adv Biomed Res. 2018 Dec 19;7:156. doi: 10.4103/abr.abr_203_17. eCollection 2018.

Micropulse Trabeculoplasty in Open Angle Glaucoma.

Author information

1
Universidad Peruana Cayetano Heredia, Lima, Perú.
2
Department of Research, Vista Clinic, Lima, Perú.
3
Departament of Glaucoma, Instituto Nacional de Oftalmología, Lima, Perú.
4
Department of Ophthalmology, Huancavelica General Hospital, Huancavelica, Peru.
5
Universidad Nacional Mayor de San Marcos, Lima, Perú.

Abstract

Background:

We report the effect of micropulse laser trabeculoplasty (MLT) in the intraocular pressure (IOP) of patients with uncontrolled open-angle glaucoma (OAG).

Materials and Methods:

In this retrospective review, 30 eyes with OAG were treated with a single session of MLT at the Vista Clinic in Lima Perú. We used a 532 nm frequency doubled Nd: YAG laser to 360° of the trabecular meshwork with a power of 1000 mW, 15% of the duty cycle, and 300 ms of exposure. The IOP was measured at baseline and at 1 day, 1 week, 3 months, and 6 months post-treatment and were followed up for one last control.

Results:

The mean baseline IOP was 15.6 mmHg and in the last control was 12.8 mmHg, mean follow-up time of 19 months (±10 standard deviation [SD]). The mean reduction of IOP in the 1st day was 1.6 mmHg (±2.6 SD) and 1.2 mmHg (±3.3 SD) in the last follow-up. The mean percentage of IOP reduction was 17.9% and 7 eyes (40%) had IOP reduction >20%. No statistical significant difference in relation to demographic characteristics of the patients. The greatest reduction was achieved in the 1st day with a median of 2.00 (P < 0.001). A tendency to achieve a higher reduction of IOP in patients with higher baseline IOP was found but was not statistically significant. No adverse reactions occurred.

Conclusions:

MLT slightly reduced the IOP in a few patients with uncontrolled OAG for a very short time and may not be suitable for these patients.

KEYWORDS:

Diode laser; micropulse; open angle glaucoma; subthreshold; trabeculoplasty

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