Objective:
To evaluate the impact of selective laser trabeculoplasty (SLT) on structural glaucomatous progression as measured by optical coherence tomography (OCT).
Key Findings:
- Prior to SLT, significant progressive thinning of RNFL thickness was observed.
- After SLT, rates of change for all evaluated OCT parameters were no longer significantly different from zero.
- Significant slowing of average RNFL thickness, superior RNFL, and cup-to-disc ratio progression was noted post-SLT.
- A modest but statistically significant reduction in mean IOP was observed following SLT.
Interpretation:
SLT may not only lower IOP but also slow the structural progression of glaucomatous damage over time, as evidenced by OCT measurements.
Limitations:
- Small sample size of 25 eyes.
- Retrospective nature of the study may limit causal inferences.
Conclusion:
SLT is a meaningful therapeutic option that may help preserve the optic nerve and should be considered for earlier use in glaucoma management.
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