Selective laser trabeculoplasty (SLT) in eyes with angle recession glaucoma

Abstract

AbstractPurpose: To describe the results of selective laser trabeculoplasty (SLT) in eyes with angle recession glaucoma.Methods: a retrospective case series of 8 eyes of 8 patients with history of non‐penetrating injury to the eye resulted in angle recession glaucoma. All eyes underwent SLT. Post‐treatment, the best‐corrected visual acuity (BCVA), intraocular pressure (IOP), number of glaucoma medications, additional need for intervention, and complications were recorded. Success of treatment was defined as an IOP reduction of 20% or reduction in medications and maintaining target IOP without further intervention during follow up period of more than 3 months.Results: Mean patient age was 44 years, 6 males and 2 females. Mean pre‐ and post‐SLT IOP were 20.31 ± 3.59 and 15.04 ± 3.13 mmHg, respectively. IOP decreased significantly in all follow‐up visits. SLT treatment resulted in decreased IOP by 21% in 2 patients and by 25% with reduced medication burden in 4 patients and reduced medication burden in 2 patients who stopped glaucoma medication with no significant change in IOP (from 10 to 14 mmHg) at last follow up visit at 45 months.Conclusions: SLT is a safe procedure that cloud be a reasonable alternative management in angle recession glaucoma when patients are unwilling to try medical or surgical intervention.