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Assessing Early Stage Open-Angle Glaucoma in Patients by Isolated-Check Visual Evoked Potential
Published on: May 25, 2020
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Micropulse Trabeculoplasty in Open Angle Glaucoma.
Diego Alejandro Valera-Cornejo1,2, Waldo Loayza-Gamboa1,2,3, Julio Herrera-Quiroz1,2
1Universidad Peruana Cayetano Heredia, Lima, Perú.
Advanced Biomedical Research
|January 22, 2019
Summary
Micropulse laser trabeculoplasty (MLT) showed a slight, short-term reduction in intraocular pressure (IOP) for patients with uncontrolled open-angle glaucoma (OAG). The treatment resulted in minimal IOP decrease and may not be a suitable long-term option for this patient group.
Area of Science:
- Ophthalmology
- Glaucoma Research
- Laser Therapy
Background:
- Open-angle glaucoma (OAG) poses a significant challenge in managing intraocular pressure (IOP).
- Micropulse laser trabeculoplasty (MLT) is a therapeutic option explored for glaucoma management.
Purpose of the Study:
- To evaluate the efficacy of micropulse laser trabeculoplasty (MLT) in reducing intraocular pressure (IOP) in patients with uncontrolled open-angle glaucoma (OAG).
Main Methods:
- A retrospective review of 30 eyes with OAG treated with a single session of MLT.
- Utilized a 532 nm frequency doubled Nd: YAG laser targeting 360° of the trabecular meshwork.
- IOP measurements were taken at baseline and at multiple intervals up to 19 months post-treatment.
Main Results:
- Mean baseline IOP was 15.6 mmHg, reduced to 12.8 mmHg at the last follow-up.
- Mean IOP reduction was 1.6 mmHg on day 1 and 1.2 mmHg at the final control.
- 40% of patients achieved >20% IOP reduction, with the greatest reduction observed on day 1 (P < 0.001).
Conclusions:
- MLT provided a modest and transient IOP reduction in patients with uncontrolled OAG.
- The treatment's short-lived effect suggests it may not be an optimal long-term solution for this population.
- No adverse reactions were reported during the study period.
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