Micropulse diode laser trabeculoplasty in Nigerian patients

Olufemi Emmanuel Babalola1,2 1Rachel Eye Center, Abuja, Nigeria; 2Department of Ophthalmology, College of Health Sciences, Bingham University, New Karu, Nigeria Introduction: The term micropulse laser trabeculoplasty suggests that only a fraction of the laser power is applied to the trabeculum to...

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Autor principal: Babalola OE
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Publicado: Dove Medical Press 2015
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spelling oai:doaj.org-article:5be419e7a10045dca18b784a0e787d3c2021-12-02T06:52:07ZMicropulse diode laser trabeculoplasty in Nigerian patients1177-5483https://doaj.org/article/5be419e7a10045dca18b784a0e787d3c2015-07-01T00:00:00Zhttp://www.dovepress.com/micropulse-diode-laser-trabeculoplasty-in-nigeriannbsppatients-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Olufemi Emmanuel Babalola1,2 1Rachel Eye Center, Abuja, Nigeria; 2Department of Ophthalmology, College of Health Sciences, Bingham University, New Karu, Nigeria Introduction: The term micropulse laser trabeculoplasty suggests that only a fraction of the laser power is applied to the trabeculum to effect pressure lowering. It has not yet been exclusively used in Negroes, and we wish to report on our experience in Nigerian patients.Methods: The study design is a retrospective chart review of our patients at the Rachel Eye Center in Abuja. The 810 diode Optos FastPulse laser was used to apply 34 cycles of treatment to 30 eyes of 16 individuals. Patients were selected based on the failure of maximal medical therapy. One patient had two extra rounds of treatment, while two patients were treated in only one eye. The pressure change at 1 hour after the treatment was analyzed. Patients were followed up for a mean period of 160 days with continuous monitoring of pressure changes. Patients’ original therapy was not disturbed.Results: Postlaser immediate drop in intraocular pressure (IOP) averaged 3.2 mmHg (CI 1.6–4.7, P<0.0001) representing 17.2% drop from baseline prelaser IOP. The drop in IOP was sustained over varying periods, from a few weeks to several months. There was a temporary spike in three instances. No serious side effects were noted.Conclusion: Micropulse diode laser trabeculoplasty is a useful adjunct in the management of open-angle glaucoma in Nigerians. This corroborates the findings of other researchers in western populations. Keywords: micropulse, diode laser, Nigeria, glaucomaBabalola OEDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2015, Iss default, Pp 1347-1351 (2015)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Babalola OE
Micropulse diode laser trabeculoplasty in Nigerian patients
description Olufemi Emmanuel Babalola1,2 1Rachel Eye Center, Abuja, Nigeria; 2Department of Ophthalmology, College of Health Sciences, Bingham University, New Karu, Nigeria Introduction: The term micropulse laser trabeculoplasty suggests that only a fraction of the laser power is applied to the trabeculum to effect pressure lowering. It has not yet been exclusively used in Negroes, and we wish to report on our experience in Nigerian patients.Methods: The study design is a retrospective chart review of our patients at the Rachel Eye Center in Abuja. The 810 diode Optos FastPulse laser was used to apply 34 cycles of treatment to 30 eyes of 16 individuals. Patients were selected based on the failure of maximal medical therapy. One patient had two extra rounds of treatment, while two patients were treated in only one eye. The pressure change at 1 hour after the treatment was analyzed. Patients were followed up for a mean period of 160 days with continuous monitoring of pressure changes. Patients’ original therapy was not disturbed.Results: Postlaser immediate drop in intraocular pressure (IOP) averaged 3.2 mmHg (CI 1.6–4.7, P<0.0001) representing 17.2% drop from baseline prelaser IOP. The drop in IOP was sustained over varying periods, from a few weeks to several months. There was a temporary spike in three instances. No serious side effects were noted.Conclusion: Micropulse diode laser trabeculoplasty is a useful adjunct in the management of open-angle glaucoma in Nigerians. This corroborates the findings of other researchers in western populations. Keywords: micropulse, diode laser, Nigeria, glaucoma
format article
author Babalola OE
author_facet Babalola OE
author_sort Babalola OE
title Micropulse diode laser trabeculoplasty in Nigerian patients
title_short Micropulse diode laser trabeculoplasty in Nigerian patients
title_full Micropulse diode laser trabeculoplasty in Nigerian patients
title_fullStr Micropulse diode laser trabeculoplasty in Nigerian patients
title_full_unstemmed Micropulse diode laser trabeculoplasty in Nigerian patients
title_sort micropulse diode laser trabeculoplasty in nigerian patients
publisher Dove Medical Press
publishDate 2015
url https://doaj.org/article/5be419e7a10045dca18b784a0e787d3c
work_keys_str_mv AT babalolaoe micropulsediodelasertrabeculoplastyinnigeriannbsppatients
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