DR. RASIKA KHEDKAR

Dr.Kalyani Vijaya Kumari, Dr. Prachi Bakare, Dr.(col) Madan Deshpande

Abstract

OBJECTIVE

To compare SLT with antiglaucoma medication(AGM) in glaucoma treatment in randomized clinical trial

METHOD

It is prospective study of 65 eyes of primary OAG, pseudoexfoliative glaucoma and Ocular Hypertension attending tertiary centre. Diagnosis was done by measuring IOP, fundus evaluation, perimetry. Eyes were randomized into first arm on AGM; second arm undergoing SLT and were studied over 1 year, extra drugs were added to either of groups and SLT added in SLT arm if target IOP not achieved

RESULT

Of 65 eyes, 54 were analysed reaching 1 year.26 were in AGM and 28 in SLT.Mean baseline IOP (mmhg) was 27.1(AGM) and 26(SLT). At 1year, mean IOP decline was 11.65 in AGM, 8.14 in SLT. In AGM, 46.15% needed additional drugs while in SLT 35% needed extra SLT/drugs to attain target IOP

CONCLUSION

Although both methods were effective in IOP control, AGM was better in significantly lowering IOP (p≤0.05) Hence SLT can be used as cost effective adjuvant to AGM thus reducing polypharmacy

Full Text