title: Efficacy of selective laser trabeculoplasty in medically uncontrolled glaucoma.
abstract: Purpose. To investigate the efficacy and safety of 360° selective laser trabeculoplasty (SLT) on medically uncontrolled open-angle glaucoma (OAG) and to evaluate the effects of antiglaucomatous medications on the results of therapy. Materials and Methods. The medical records of 62 eyes of 51 patients with OAG, which did not reach the targeted intraocular pressure (IOP) with maximum antiglaucomatous medical therapy, were retrospectively reviewed. Results. A statistically significant decrease was observed in the mean baseline IOP at 1, 3, 6, and 12 months of followup (P < 0.01). The success rate was 64.5% in all of the patients. The success rates did not vary significantly by taking 1, 2, 3, or 4 medications with the rates of 63.6%, 71.4%, 64.2%, and 58.3% (P = 0.06). The success rate of eyes on medication more or less than 6 months was 62.5% or 66.7%, respectively (P = 0.3). There was a positive correlation between mean baseline IOP and mean reduction in IOP from baseline (P < 0.001, r = 0.8). Conclusion. Application of 360° of SLT provided an effective and safe IOP reduction in medically uncontrolled OAG. Baseline IOP was found to be the most important factor in the efficacy of therapy.
authors.affiliation: Zonguldak Devrek Government Hospital, Devrek, Zonguldak, Turkey.
authors.forename: Nihat
authors.initials: N
authors.lastname: Sayin
authors.affiliation: Beyoglu Eye Research and Education Hospital, Bereketzade Camii Sok No. 2 Beyoglu, Istanbul, Turkey.
authors.forename: Zeynep
authors.identifier: 0000-0002-5363-1944
authors.initials: Z
authors.lastname: Alkin
authors.affiliation: Beyoglu Eye Research and Education Hospital, Bereketzade Camii Sok No. 2 Beyoglu, Istanbul, Turkey.
authors.forename: Abdullah
authors.initials: A
authors.lastname: Ozkaya
authors.affiliation: Beyoglu Eye Research and Education Hospital, Bereketzade Camii Sok No. 2 Beyoglu, Istanbul, Turkey.
authors.forename: Abdulvahit
authors.initials: A
authors.lastname: Demir
authors.affiliation: Beyoglu Eye Research and Education Hospital, Bereketzade Camii Sok No. 2 Beyoglu, Istanbul, Turkey.
authors.forename: Ahmet Taylan
authors.initials: AT
authors.lastname: Yazici
authors.affiliation: Beyoglu Eye Research and Education Hospital, Bereketzade Camii Sok No. 2 Beyoglu, Istanbul, Turkey.
authors.forename: Ercument
authors.initials: E
authors.lastname: Bozkurt
authors.affiliation: Beyoglu Eye Research and Education Hospital, Bereketzade Camii Sok No. 2 Beyoglu, Istanbul, Turkey ; Istanbul Medeniyet University, D-100 Karayolu Merdivenkoy Mevkii No. 6 Kadikoy, Istanbul, Turkey.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Demirok