High failure rate associated with 180 degrees selective laser trabeculoplasty.


Journal Article

PURPOSE: To determine the efficacy of selective laser trabeculoplasty (SLT) in a tertiary care referral center. PATIENTS AND METHODS: In this retrospective study of selective laser trabeculoplasty performed by five physicians, 94 eyes from 94 patients were included. A majority (83/92, 90%) underwent 180 degrees selective laser trabeculoplasty. Selective laser trabeculoplasty failure was defined in two ways: (1) IOP decrease <3 mm Hg (definition one), or (2) IOP decrease <20% (definition two), on two successive visits > or =4 weeks after SLT. RESULTS: Overall failure rates were 68% (64/94) and 75% (70/94) (by definitions one and two, respectively). By survival/life-table analysis, mean time to failure was 6 months and 5.5 months, by definitions one and two, respectively. By the end of the study (14.5 months), the failure rates were 86% and 92% by definitions one and two, respectively. By each definition, in both univariable and multivariable analysis, only lower baseline IOP was a significant predictor of failure. CONCLUSIONS: Selective laser trabeculoplasty had an overall low success rate in our tertiary clinic population, with overall failure rates of 68% to 74% in those who underwent 180 degrees selective laser trabeculoplasty.

Full Text

Duke Authors

Cited Authors

  • Song, J; Lee, PP; Epstein, DL; Stinnett, SS; Herndon, LW; Asrani, SG; Allingham, RR; Challa, P

Published Date

  • October 2005

Published In

Volume / Issue

  • 14 / 5

Start / End Page

  • 400 - 408

PubMed ID

  • 16148590

Pubmed Central ID

  • 16148590

International Standard Serial Number (ISSN)

  • 1057-0829

Digital Object Identifier (DOI)

  • 10.1097/01.ijg.0000176939.43681.c2


  • eng

Conference Location

  • United States