Selective laser trabeculoplasty as an initial treatment option for open-angle glaucoma
ABSTRACT Although eye drops are frequently used as an initial treatment option for open angle glaucoma (OAG), side effects, and poor adherence, among others, may compromise treatment efficacy. In this scenario, laser trabeculoplasty is an interesting therapeutic option for open angle glaucoma cases. Commonly used for many years as a last alternative prior to glaucoma incisional surgery, laser trabeculoplasty has been changing its indication after the advent of selective laser trabeculoplasty (SLT). In the current review, we critically evaluated the published data regarding the use of laser trabeculoplasty as a first treatment option for open angle glaucoma patients. Studies using SLT as a first-line treatment have encouraging findings. One-year efficacy results are comparable to those obtained with prostaglandin analogues, with a good safety profile. Although the laser´s effect is known to be transitory, recent data suggest it can be successfully repeated in cases with good response to the first SLT treatment.
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Conselho Brasileiro de Oftalmologia
2016
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oai:scielo:S0004-274920160006004172016-12-21Selective laser trabeculoplasty as an initial treatment option for open-angle glaucomaFreitas,Ana LúciaUshida,MicheleAlmeida,IzabelaDias,Diego T.Dorairaj,SyrilKanadani,Fábio NishimuraPrata,Tiago Santos Glaucoma, open-angle/surgery Trabeculectomy/methods Lasers Intraocular pressure ABSTRACT Although eye drops are frequently used as an initial treatment option for open angle glaucoma (OAG), side effects, and poor adherence, among others, may compromise treatment efficacy. In this scenario, laser trabeculoplasty is an interesting therapeutic option for open angle glaucoma cases. Commonly used for many years as a last alternative prior to glaucoma incisional surgery, laser trabeculoplasty has been changing its indication after the advent of selective laser trabeculoplasty (SLT). In the current review, we critically evaluated the published data regarding the use of laser trabeculoplasty as a first treatment option for open angle glaucoma patients. Studies using SLT as a first-line treatment have encouraging findings. One-year efficacy results are comparable to those obtained with prostaglandin analogues, with a good safety profile. Although the laser´s effect is known to be transitory, recent data suggest it can be successfully repeated in cases with good response to the first SLT treatment.info:eu-repo/semantics/openAccessConselho Brasileiro de OftalmologiaArquivos Brasileiros de Oftalmologia v.79 n.6 20162016-12-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492016000600417en10.5935/0004-2749.20160118 |
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Freitas,Ana Lúcia Ushida,Michele Almeida,Izabela Dias,Diego T. Dorairaj,Syril Kanadani,Fábio Nishimura Prata,Tiago Santos |
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Freitas,Ana Lúcia Ushida,Michele Almeida,Izabela Dias,Diego T. Dorairaj,Syril Kanadani,Fábio Nishimura Prata,Tiago Santos Selective laser trabeculoplasty as an initial treatment option for open-angle glaucoma |
author_facet |
Freitas,Ana Lúcia Ushida,Michele Almeida,Izabela Dias,Diego T. Dorairaj,Syril Kanadani,Fábio Nishimura Prata,Tiago Santos |
author_sort |
Freitas,Ana Lúcia |
title |
Selective laser trabeculoplasty as an initial treatment option for open-angle glaucoma |
title_short |
Selective laser trabeculoplasty as an initial treatment option for open-angle glaucoma |
title_full |
Selective laser trabeculoplasty as an initial treatment option for open-angle glaucoma |
title_fullStr |
Selective laser trabeculoplasty as an initial treatment option for open-angle glaucoma |
title_full_unstemmed |
Selective laser trabeculoplasty as an initial treatment option for open-angle glaucoma |
title_sort |
selective laser trabeculoplasty as an initial treatment option for open-angle glaucoma |
description |
ABSTRACT Although eye drops are frequently used as an initial treatment option for open angle glaucoma (OAG), side effects, and poor adherence, among others, may compromise treatment efficacy. In this scenario, laser trabeculoplasty is an interesting therapeutic option for open angle glaucoma cases. Commonly used for many years as a last alternative prior to glaucoma incisional surgery, laser trabeculoplasty has been changing its indication after the advent of selective laser trabeculoplasty (SLT). In the current review, we critically evaluated the published data regarding the use of laser trabeculoplasty as a first treatment option for open angle glaucoma patients. Studies using SLT as a first-line treatment have encouraging findings. One-year efficacy results are comparable to those obtained with prostaglandin analogues, with a good safety profile. Although the laser´s effect is known to be transitory, recent data suggest it can be successfully repeated in cases with good response to the first SLT treatment. |
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Conselho Brasileiro de Oftalmologia |
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2016 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492016000600417 |
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