Selective laser trabeculoplasty: predictive value of early intraocular pressure measurements for success at 3 months

Br J Ophthalmol. 2006 Jun;90(6):741-3. doi: 10.1136/bjo.2005.086363. Epub 2006 Feb 7.

Abstract

Aim: To determine the predictive value of the 2 week post-selective laser trabeculoplasty (SLT) intraocular pressure (IOP) by comparing it to the 4 week and 3 month values.

Methods: A retrospective chart review of eyes that underwent SLT between 2001 and 2004 was performed. The primary outcome measure was IOP. Demographic and medical data were collected for correlational analysis.

Results: 132 eyes of 95 patients were identified, none was excluded. Of the eyes that exhibited a decrease in IOP of >1 mm Hg at 2 weeks postoperatively, 99.24% continued to show a lowered IOP at the 4 week and 3 month visits. For these patients, the Pearson's r value between 2 weeks and 4 weeks was 0.708 (p value = 0.01) while the r value between 2 weeks and 3 months was 0.513 (p value = 0.01).

Conclusions: The 2 week visit post-SLT predicted the 4 week and 3 month visits if the 2 week visit demonstrated a decrease in IOP. These findings suggest that those patients who had a decreased IOP at 2 weeks and are at their goal IOP may not need to be screened until 3 months postoperatively.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Female
  • Glaucoma / physiopathology
  • Glaucoma / surgery*
  • Glaucoma, Open-Angle / physiopathology
  • Glaucoma, Open-Angle / surgery
  • Humans
  • Intraocular Pressure*
  • Laser Therapy*
  • Long-Term Care / methods
  • Male
  • Middle Aged
  • Postoperative Care / methods*
  • Prognosis
  • Retrospective Studies
  • Trabeculectomy / methods*
  • Treatment Outcome