Selective laser trabeculoplasty versus argon laser trabeculoplasty: results from a 1-year randomised clinical trial

Aims: To compare selective laser trabeculoplasty (SLT) and argon laser trabeculoplasty (ALT), in terms of intraocular pressure (IOP) lowering, in patients with open-angle glaucoma. Methods: 176 eyes of 152 patients were enrolled in this study, 89 in the SLT and 87 in the ALT groups. Patients were ra...

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Bibliographic Details
Published in:British journal of ophthalmology 2006-12, Vol.90 (12), p.1490-1494
Main Authors: Damji, K F, Bovell, A M, Hodge, W G, Rock, W, Shah, K, Buhrmann, R, Pan, Y I
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
ALT
argon laser trabeculoplasty
Biological and medical sciences
Clinical Science - Extended Report
Clinical trials
Drugs
Female
Follow-Up Studies
Glaucoma
Glaucoma, Open-Angle - physiopathology
Glaucoma, Open-Angle - surgery
Humans
Intraocular Pressure
IOP
Laser Therapy - adverse effects
Laser Therapy - methods
Lasers
Male
Medical sciences
Middle Aged
Miscellaneous
OAG
open-angle glaucoma
Ophthalmology
Patients
pseudoexfoliation glaucoma
PXG
selective laser trabeculoplasty
SLT
Studies
Success
Survival Analysis
Trabeculectomy - adverse effects
Trabeculectomy - methods
Treatment Outcome
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Summary:Aims: To compare selective laser trabeculoplasty (SLT) and argon laser trabeculoplasty (ALT), in terms of intraocular pressure (IOP) lowering, in patients with open-angle glaucoma. Methods: 176 eyes of 152 patients were enrolled in this study, 89 in the SLT and 87 in the ALT groups. Patients were randomised to receive either SLT or ALT treatment to 180° of the trabecular meshwork. Patients were followed up to 12 months after treatment. The main outcome measured was IOP lowering at 12 months after treatment, compared between the SLT and ALT groups. Results: No significant difference (p = 0.846) was found in mean decrease in IOP between the SLT (5.86 mm Hg) and ALT (6.04 mm Hg) groups at 1 year or at any other time points, nor were there any significant differences in the rate of early or late complications between the two groups. Conclusions: SLT is equivalent to ALT in terms of IOP lowering at 1 year, and is a safe and effective procedure for patients with open-angle glaucoma.
ISSN:0007-1161
1468-2079
DOI:10.1136/bjo.2006.098855