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Article Type

Article

Subject Area

Ophthalmology

Abstract

Introduction One of the complications of using silicone oil is glaucoma. Selective laser trabeculoplasty (SLT) became an increasingly focused laser procedure for glaucoma because of its efficacy and minimal destructive effects on the surrounding tissues. The aim of our study is to analyze the efficacy of SLT on silicone oil-induced secondary glaucoma in terms of intraocular pressure (IOP). Patients and methods This is prospective study on 30 eyes of 30 patients with silicone oil-induced secondary glaucoma. The patients should have had no history of glaucoma or ocular hypertension before silicone oil injection. The patients were treated with laser at 360° of the trabecular meshwork using Smart Selecta Duet Lumenis SLT, Germany. Results The baseline IOP ranged between 22 and 28 mmHg, with a mean IOP of 25 ± 2.0 mmHg. The IOP on the first day ranged between 20 and 26 mmHg, with a mean of 23 ± 1.5 mmHg. At first month, the range of IOP was 12–24 mmHg, with a mean of 18 ± 3 mmHg. At 3 months, it was 10–18 mmHg, with mean of 14 ± 3.8 mmHg. At 6 months, it was 11–20 mmHg, with a mean of 15 ± 4.2 mmHg (P = 0.01, 0.002, 0.003, and 0.004, respectively). Conclusion Our study suggested effectiveness of SLT in lowering the IOP in siliconized eyes with secondary glaucoma, and it is a safe procedure with no serious complications.

Keywords

Selective Laser Trabeculoplasty, Silicone oil induced glaucoma, SLT

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