스테로이드 유발 고안압증 환자에서 선택적 레이저 섬유주성형술의 효용성

The Effectiveness of Selective Laser Trabeculoplasty in Steroid-Induced Ocular Hypertension

Purpose: To report the effectiveness of selective laser trabeculoplasty (SLT) in patients with intraocular hypertension refractory to maximum tolerated medical therapy after intravitreal triamcinolone acetonide (IVTA). Case summary: The records of 3 patients with steroid-induced intraocular hypertension that did not respond to maximum tolerated medical therapy were retrospectively reviewed. The patients received SLT instead of filtering surgery or Argon laser trabeculoplasty. The mean intraocular pressure (IOP) of 13.7 mm Hg increased to 30.7 mm Hg within 13 days of IVTA. IOP was uncontrolled despite maximum tolerated medical therapy. Patients underwent SLT 15.3 weeks after IVTA. Mean IOP decreased to 16 ± 3.0 mm Hg after 1 day, 19.7 ± 8.0 mm Hg after 1 week, 17 ± 8.0 mm Hg after 1 month, 12.3 ± 2.9 mm Hg after 3 months and 12.3 ± 0.6 mm Hg after 4 to 6 months. The number of IOP lowering drugs were decreased to 1 from 4.3 after 6 months of SLT. Conclusions: SLT may be effective and safe for the treatment of steroid-induced intraocular hypertension refractory to maximum tolerated medical therapy. J Korean Ophthalmol Soc 2011;52(7):876-880