Selective Laser Trabeculoplasty in Egyptian Patients with Primary Open Angle Glaucoma

Background and Objective: The aim of this study is to assess intraocular pressure (IOP) drop in Egyptian patients using selective laser trabeculoplasty (SLT) as a primary or adjunctive mode of treatment for open angle glaucoma (OAG). Patients and Methods: 106 eyes with POAG were enrolled in this prospective study, group1: Recently diagnosed cases on no medications, group 2: Known glaucoma patients using treatment. Patients underwent 360° SLT, were followed for 18 months. Changes in IOP, number of medications and complications were noted. Results: A significant drop of IOP was found from 19.55 (±4.8) mmHg to 16.03 (±2.8) mmHg at 18 months (p 0.001). Each subgroup had a significant drop of IOP. Mean number of medications dropped in group 2 from 2.25 (±0.97) to 1.0 (±1.3) at 18 months follow-up (p=0.004). Conclusion: SLT can be safely and effectively used as a primary or adjunctive modality of treatment of glaucoma.