Abstract
To analyze the results of combined laser treatment for pigmentary glaucoma using laser iridectomy (LIE) and selective laser trabeculoplasty (SLT). The two-stage laser treatment was performed in 12 patients (22 eyes) with pigmentary glaucoma (primary stage - 19 eyes, advanced - 3 eyes). The first stage consisted of LIE; after 5.5±2.2 months, second stage in the form of SLT took place. The follow-up was 16.8±3.2 months. In the early post-op period after LIE, P0 decreased to 14.76±0.72 mm Hg, however the intraocular pressure (IOP) gradually increased during the further follow-up. After SLT, a steady P0 decrease to 12.39±0.66 mm Hg was reached - significantly lower in comparison with the initial data (19.94±0.94 mm Hg). Moreover, significant decrease in the number of hypotensive medications used was noted by the end of the follow-up - from 1.73±0.18 to 0.86±0.15. The combined laser treatment involving LIE and SLT was effective in treating primary and advanced pigmentary glaucoma.
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