Impact of laser trabeculoplasty on Trabectome® outcomes

Steven D. Vold, Laurie Dustin, Compagna, Condon, Lauer, Budenz, Greenfield, Girkin, Francis, Ramirez, Al-Aswad, Smith, Donas, Asrani, Fellman, Godfrey, Mahan, Jones, Patitsas, RabowskyMorgan, Rosenquist, Ghiasi, Yeh, Apte, Zhang, Tanji, Hangai, Rothstein, Briggs, Wiles, McKnight, Tamesis, Fanin, Brady, Rhee, Chen, Sit, Shetty, Bendel, Kayback, Amin, Sidoti, Laroche, Johnstone, Mills, Jamil, Osmundson, Marshall, Chevrier, Mitchell, Lloyd, Ceballos, Damji, Maeda, Miller, Sankar, Nguyen, Weinreb, Leen, Watanabe, Ichikawa, Reiss, Batiste, Moretsky, Cassidy, Zacharia, Stiles, Araie, Aihara, Baerveldt, Minckler, Mosaed, Kwon, Deokule, Schuman, Mitchell, Greenlee, Callender, Sulewski, Wang, Cotter, Barnett, Siegfried, Siepser, Friedman, Jampel, Trible

Research output: Contribution to journalArticlepeer-review

27 Scopus citations

Abstract

BACKGROUND AND OBJECTIVE: To report the impact of prior laser trabeculoplasty on clinical outcomes of Trabectome (NeoMedix Corporation, Tustin, CA) surgery. PATIENTS AND METHODS: This is a retrospective, non-comparative study of consecutive cases of Trabectome surgery with 36 months of follow-up. Main outcome measures were intraocular pressure (IOP), number of glaucoma medications, and the occurrence of secondary procedures. RESULTS: In the trabeculoplasty group, mean IOP measured 16.5 ± 4.0 mm Hg with an average decrease of 24% from preoperative IOP at 12 months. In eyes without previous trabeculoplasty, IOP measured 15.7 ± 3.0 mm Hg with an average decrease of 30% at 12 months. Adjunctive medications decreased to 2.1 and 1.5 glaucoma medications, respectively. Secondary procedures were performed in 12% and 10% of eyes in each group. CONCLUSION: Previous laser trabeculoplasty does not appear to significantly impact IOP, but may increase the need for glaucoma medication in patients undergoing Trabectome surgery.

Original languageEnglish
Pages (from-to)443-451
Number of pages9
JournalOphthalmic Surgery Lasers and Imaging
Volume41
Issue number4
DOIs
StatePublished - Jul 2010

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