J Korean Ophthalmol Soc.  2007 Nov;48(11):1494-1499.

Selective Laser Trabeculoplasty in Fertile Women with Open Angle Glaucoma or Ocular Hypertension

• Park MH
• Moon JI

Abstract

PURPOSE: To investigate the efficacy and safety of selective laser trabeculoplasty (SLT) in pregnant and lactating women who have primary open-angle glaucoma and ocular hypertension.
METHODS
From January 2006 to August 2006 SLT was performed in fertile female patients with primary open-angle glaucoma and ocular hypertension. Intraocular pressure (IOP) was measured at 1 hour, 1 day, 1 week, 1 month, 3 months, and 6 months after SLT. Anterior chamber reaction and ocular pain were checked on postoperative day 1. Peripheral anterior synechia was examined at postoperative 6 months. Any anti-glaucoma drug was discontinued after SLT procedure, and restarted when needed.
RESULTS
22 patients (40 eyes) of primary open-angle glaucoma (40 eyes) and ocular hypertension (10 eyes) were included. The mean baseline intraocular pressure was 31.6 mmHg. The mean IOP was 15.7 mmHg and the mean number of anti-glaucoma drug was 1.3+/-0.6 preoperatively. There was successful IOP decrease at postoperative 1 day (17.9 mmHg), 1 week (16.3 mmHg), 1 month (17.7 mmHg), 3 months (18.4 mmHg), and 6 months (19.0 mmHg). The mean number of anti-glaucoma drug was 0.43+/-0.7 (p=0.000) postoperatively. There were no significant postoperative complications in the 6-month follow-up period.
CONCLUSIONS
SLT seems to be a safe and effective procedure for fertile female patients who need to discontinue or reduce the anti-glaucoma drugs.

Keyword

Fertility; Lactation; Open Angle Glaucoma; Pregnancy; Selective Laser Trabeculoplasty

MeSH Terms

Anterior Chamber
Female
Fertility
Follow-Up Studies
Glaucoma, Open-Angle*
Humans
Intraocular Pressure
Lactation
Ocular Hypertension*
Postoperative Complications
Pregnancy
Trabeculectomy*

Figure

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  Figure 1. Changes in intraocular pressure after selective laser trabeculoplasty.

Reference

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