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Micropulse laser trabeculoplasty under maximal tolerable glaucoma eyedrops:treatment effectiveness and impact of surgical expertise

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international Journal of Ophthalmology(English edition) 2021年第3期14卷 388-392页

作者： Shinji Kakihara Takao Hirano Akira Imai Taihei Kurenuma Yoshiaki Chiku Toshinori Murata Department of Ophthalmology Shinshu University School of MedicineMatsumotoNagano 390-8621Japan

AIM:To evaluate the effectiveness of micropulse laser trabeculoplasty(MLT)for eyes with open angle glaucoma(OAG)under maximal tolerable glaucoma eyedrops and to assess the effect of expertise performing MLT on its clinical ***:Medical records of 42 consecutive eyes of 34 patients diagnosed with OAG who underwent MLT were retrospectively *** effectiveness was determined using the Kaplan-Meier survival *** was defined as an intraocular pressure(IOP)reduction of21 mm Hg during two consecutive follow-up visits,or surgical intervention for *** determine the impact of MLT surgical expertise on clinical effectiveness,the eyes were divided into two groups according to whether the procedure was conducted by an experienced specialist(defined as a glaucoma specialist who had conducted at least ten MLT procedures)or a less experienced glaucoma *** difference in expertise was determined using a log-rank ***:MLT was conducted by three glaucoma *** overall survival rates were 0.76,0.48,and 0.44 at 1,3,and 6 mo,*** survival rates for MLT performed by a less experienced glaucoma specialist were 0.62,0.31,and 0.25(n=21 eyes)at 1,3,and 6 mo,respectively,whereas the survival rates for MLT performed by an experienced glaucoma specialist were 0.90,0.64,and 0.64(n=21 eyes)at 1,3,and 6 mo,*** log-rank test showed a significant difference in the survival curves of the two groups(P=0.0061).CONCLUSION:The 6-month effectiveness of MLT for controlling IOP is relatively limited in eyes with OAG using maximal tolerable glaucoma ***,its effectiveness may be improved if performed by a glaucoma specialist with sufficient MLT experience.

关键词： micropulse laser trabeculoplasty open angle glaucoma inter-operator variability

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