First Results of Direct Selective Laser Trabeculoplasty for the Treatment of Glaucoma

AI Generated Summary*

Direct selective laser trabeculoplasty, which targets the trabecular meshwork through the limbus without a gonioscopy lens, was evaluated in 104 eyes of 54 patients at an Italian centre: 76 eyes had primary open-angle glaucoma (POAG) and 28 had primary angle closure glaucoma (PACG). Twelve months after treatment, mean intraocular pressure had fallen significantly by 3.76 mm Hg in POAG eyes and 3.67 mm Hg in PACG eyes, with medication counts reduced by 0.79 and 0.96; perimetric mean deviation was stable. Pressure lowering correlated with baseline pressure. All eyes had transient conjunctival haemorrhage and anterior chamber cells; no pressure spikes or synechiae occurred. Corneal arcus prevented bilateral treatment in four patients. No comparison with standard SLT was made.

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