Therapeutic effect of selective laser trabeculoplasty on steroid-induced glaucoma

Abstract:

AIM:To report the therapeutic effect of selective laser trabeculoplasty (SLT) on steroid-induced glaucoma. METHODS:This study was made on 8 eyes of 8 cases who received SLT for glaucoma secondary to treatment with peroral corticosteroid. The series comprised 5 males and 3 females. The age ranged from 55 to 74 years, average 65 years. Corticosteroid had been prescribed for 11.5±3.3 years. Intraocular pressure (IOP) started to rise after 6.2±2.9 years of treatment. Each case had been treated with 2.9±0.5 topical drugs for glaucoma. Patients had been treated with topical medications and systemic corticosteroid after SLT. RESULTS:IOP averaged 26.8±5.1mmHg before SLT, 202±3.2mmHg after 1 month, 17.6±2.2mmHg after 3 months, and 16.1±1.4mmHg after 6 months. Each postoperative IOP was significantly lower than preoperative one. CONCLUSION:SLT was effective for glaucoma secondary to systemic corticosteroid in the present series.