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Efficacy and Safety of Selective Laser Trabeculoplasty among Ethiopian Glaucoma Patients
Joint Authors
Soboka, Jibat Gemida
Giorgis, Abeba T.
Alemu, Abiye M.
Hodge, W. G.
Damji, Karim F.
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-09-16
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
Selective laser trabeculoplasty (SLT) is a safe and effective treatment modality for lowering intraocular pressure (IOP).
Purpose.
To determine the efficacy and safety of SLT among Ethiopian patients with primary open-angle glaucoma (POAG), pseudoexfoliation glaucoma (PXG), and ocular hypertension (OHT).
Method.
A prospective, nonrandomized interventional study was conducted at Menelik II Hospital, Ethiopia.
Patients on antiglaucoma medication with uncontrolled IOP and those patients treated for the first time with 360 degrees of SLT were included.
Success was defined as an IOP lowering of > 20% from baseline without repeat treatment.
Result.
A total of 95 eyes of 61 patients with a diagnosis of OAG and OHT were enrolled.
The diagnosis was POAG in 55 (57.9%) eyes, PXG in 22 (23.2%) eyes, and OHT in 18 (18.9%) eyes.
Seventy (73.7%) eyes were on medications, and 25 (26.3%) eyes were treated with laser as primary therapy.
The mean (SD) baseline IOP and medication were 24.3 ± 2.5 mmHg and 1.29 ± 1.01, respectively.
The one-year mean (SD) IOP reduction was 6.7 ± 4.2 mmHg and medication reduction was 0.26 ± 1.34.
The overall IOP reduction at 12 months was 27.6%, and the success rate was 60%.
The mean IOP (SD) reduction for patients who were treated for the first time with laser and on antiglaucoma medication was 6.5 ± 3.1 mmHg and 6.8 ± 2.8 mmHg, respectively.
Post-SLT, patients experienced transient ocular pain, brow ache, headache, and/or blurring of vision in 31.6%, anterior chamber reaction in 36.8%, and IOP spike ≥ 6 mmHg in 11.6%.
Conclusion.
SLT is an effective and safe treatment modality for OHT, POAG, and PXG among Ethiopian patients either as a first-line treatment or as an adjunct to topical glaucoma treatment.
American Psychological Association (APA)
Soboka, Jibat Gemida& Giorgis, Abeba T.& Alemu, Abiye M.& Hodge, W. G.& Damji, Karim F.. 2020. Efficacy and Safety of Selective Laser Trabeculoplasty among Ethiopian Glaucoma Patients. Journal of Ophthalmology،Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1189683
Modern Language Association (MLA)
Soboka, Jibat Gemida…[et al.]. Efficacy and Safety of Selective Laser Trabeculoplasty among Ethiopian Glaucoma Patients. Journal of Ophthalmology No. 2020 (2020), pp.1-6.
https://search.emarefa.net/detail/BIM-1189683
American Medical Association (AMA)
Soboka, Jibat Gemida& Giorgis, Abeba T.& Alemu, Abiye M.& Hodge, W. G.& Damji, Karim F.. Efficacy and Safety of Selective Laser Trabeculoplasty among Ethiopian Glaucoma Patients. Journal of Ophthalmology. 2020. Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1189683
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1189683