The Effectiveness of Selective Laser Trabeculoplasty in Steroid-Induced Ocular Hypertension.
10.3341/jkos.2011.52.7.876
- Author:
Ju Hyang LEE
1
;
Min Cheol SEONG
;
Hee Yoon CHO
;
Yoon Jung LEE
Author Information
1. Department of Ophthalmology, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri, Korea. goddns76@hanmail.net
- Publication Type:Case Report
- Keywords:
Intravitreal triamcinolone acetonide injection;
Selective laser trabeculoplasty;
Steroid-induced ocular hypertension
- MeSH:
Argon;
Filtering Surgery;
Humans;
Hypertension;
Intraocular Pressure;
Ocular Hypertension;
Retrospective Studies;
Trabeculectomy;
Triamcinolone Acetonide
- From:Journal of the Korean Ophthalmological Society
2011;52(7):876-880
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report the effectiveness of selective laser trabeculoplasty (SLT) in patients with intraocular hypertension refractory to maximum tolerated medical therapy after intravitreal triamcinolone acetonide (IVTA). CASE SUMMARY: The records of 3 patients with steroid-induced intraocular hypertension that did not respond to maximum tolerated medical therapy were retrospectively reviewed. The patients received SLT instead of filtering surgery or Argon laser trabeculoplasty. The mean intraocular pressure (IOP) of 13.7 mm Hg increased to 30.7 mm Hg within 13 days of IVTA. IOP was uncontrolled despite maximum tolerated medical therapy. Patients underwent SLT 15.3 weeks after IVTA. Mean IOP decreased to 16 +/- 3.0 mm Hg after 1 day, 19.7 +/- 8.0 mm Hg after 1 week, 17 +/- 8.0 mm Hg after 1 month, 12.3 +/- 2.9 mm Hg after 3 months and 12.3 +/- 0.6 mm Hg after 4 to 6 months. The number of IOP lowering drugs were decreased to 1 from 4.3 after 6 months of SLT. CONCLUSIONS: SLT may be effective and safe for the treatment of steroid-induced intraocular hypertension refractory to maximum tolerated medical therapy.
