Efficacy and safety of selective laser trabeculoplasty for uveitic glaucoma

Abstract To determine the efficacy and safety of selective laser trabeculoplasty (SLT) in patients with uveitic glaucoma, we retrospectively evaluated 17 eyes from 13 consecutive uveitic glaucoma cases who were treated with SLT due to inadequate interocular pressure (IOP) control despite glaucoma me...

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Main Authors: Minako Suzuki, Masaki Takeuchi, Akira Meguro, Jutaro Nakamura, Mamoru Tateishi, Miki Fukuda, Akihiro Kamata, Yuki Mizuki, Kayoko Yamada, Etsuko Shibuya, Norihiro Yamada, Mami Ishihara, Nobuhisa Mizuki
Format: Article
Language:English
Published: Nature Portfolio 2025-02-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-025-88354-0
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author Minako Suzuki
Masaki Takeuchi
Akira Meguro
Jutaro Nakamura
Mamoru Tateishi
Miki Fukuda
Akihiro Kamata
Yuki Mizuki
Kayoko Yamada
Etsuko Shibuya
Norihiro Yamada
Mami Ishihara
Nobuhisa Mizuki
author_facet Minako Suzuki
Masaki Takeuchi
Akira Meguro
Jutaro Nakamura
Mamoru Tateishi
Miki Fukuda
Akihiro Kamata
Yuki Mizuki
Kayoko Yamada
Etsuko Shibuya
Norihiro Yamada
Mami Ishihara
Nobuhisa Mizuki
author_sort Minako Suzuki
collection DOAJ
description Abstract To determine the efficacy and safety of selective laser trabeculoplasty (SLT) in patients with uveitic glaucoma, we retrospectively evaluated 17 eyes from 13 consecutive uveitic glaucoma cases who were treated with SLT due to inadequate interocular pressure (IOP) control despite glaucoma medical therapy. The mean IOP was significantly decreased from 28.4 ± 6.50 mmHg to 17.3 ± 9.4 mmHg at baseline, and 6 months after SLT, respectively (P < 0.0001). There was no significant increase in inflammation or prednisolone dosage following SLT. We compared the success group, which demonstrated successful IOP reduction after 6 months of SLT, to the other failure group. The success group had shorter uveitis duration (1.37 ± 0.41 vs. 1.97 ± 0.80 years, P = 0.032) and lower baseline IOP (25.5 ± 5.09 vs. 33.7 ± 5.57 mmHg, P = 0.035). This study found that SLT had a positive IOP-lowering effect and was safe in patients with uveitic glaucoma who had not responded to medical treatment.
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spelling doaj-art-a3b1354a40334e4dbda49db0332fcc0e2025-02-09T12:30:43ZengNature PortfolioScientific Reports2045-23222025-02-011511710.1038/s41598-025-88354-0Efficacy and safety of selective laser trabeculoplasty for uveitic glaucomaMinako Suzuki0Masaki Takeuchi1Akira Meguro2Jutaro Nakamura3Mamoru Tateishi4Miki Fukuda5Akihiro Kamata6Yuki Mizuki7Kayoko Yamada8Etsuko Shibuya9Norihiro Yamada10Mami Ishihara11Nobuhisa Mizuki12Department of Ophthalmology and Visual Science, Yokohama City University Graduate School of MedicineDepartment of Ophthalmology and Visual Science, Yokohama City University Graduate School of MedicineDepartment of Ophthalmology and Visual Science, Yokohama City University Graduate School of MedicineDepartment of Ophthalmology and Visual Science, Yokohama City University Graduate School of MedicineDepartment of Ophthalmology and Visual Science, Yokohama City University Graduate School of MedicineDepartment of Ophthalmology and Visual Science, Yokohama City University Graduate School of MedicineDepartment of Ophthalmology and Visual Science, Yokohama City University Graduate School of MedicineDepartment of Ophthalmology and Visual Science, Yokohama City University Graduate School of MedicineDepartment of Ophthalmology and Visual Science, Yokohama City University Graduate School of MedicineDepartment of Ophthalmology and Visual Science, Yokohama City University Graduate School of MedicineDepartment of Ophthalmology and Visual Science, Yokohama City University Graduate School of MedicineDepartment of Ophthalmology and Visual Science, Yokohama City University Graduate School of MedicineDepartment of Ophthalmology and Visual Science, Yokohama City University Graduate School of MedicineAbstract To determine the efficacy and safety of selective laser trabeculoplasty (SLT) in patients with uveitic glaucoma, we retrospectively evaluated 17 eyes from 13 consecutive uveitic glaucoma cases who were treated with SLT due to inadequate interocular pressure (IOP) control despite glaucoma medical therapy. The mean IOP was significantly decreased from 28.4 ± 6.50 mmHg to 17.3 ± 9.4 mmHg at baseline, and 6 months after SLT, respectively (P < 0.0001). There was no significant increase in inflammation or prednisolone dosage following SLT. We compared the success group, which demonstrated successful IOP reduction after 6 months of SLT, to the other failure group. The success group had shorter uveitis duration (1.37 ± 0.41 vs. 1.97 ± 0.80 years, P = 0.032) and lower baseline IOP (25.5 ± 5.09 vs. 33.7 ± 5.57 mmHg, P = 0.035). This study found that SLT had a positive IOP-lowering effect and was safe in patients with uveitic glaucoma who had not responded to medical treatment.https://doi.org/10.1038/s41598-025-88354-0
spellingShingle Minako Suzuki
Masaki Takeuchi
Akira Meguro
Jutaro Nakamura
Mamoru Tateishi
Miki Fukuda
Akihiro Kamata
Yuki Mizuki
Kayoko Yamada
Etsuko Shibuya
Norihiro Yamada
Mami Ishihara
Nobuhisa Mizuki
Efficacy and safety of selective laser trabeculoplasty for uveitic glaucoma
Scientific Reports
title Efficacy and safety of selective laser trabeculoplasty for uveitic glaucoma
title_full Efficacy and safety of selective laser trabeculoplasty for uveitic glaucoma
title_fullStr Efficacy and safety of selective laser trabeculoplasty for uveitic glaucoma
title_full_unstemmed Efficacy and safety of selective laser trabeculoplasty for uveitic glaucoma
title_short Efficacy and safety of selective laser trabeculoplasty for uveitic glaucoma
title_sort efficacy and safety of selective laser trabeculoplasty for uveitic glaucoma
url https://doi.org/10.1038/s41598-025-88354-0
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