2MD, Ankara Education and Research Hospital, Ophthalmology, Ankara, Türkiye
3Assoc.Prof., Ankara Education and Research Hospital, Ophthalmology, Ankara, Türkiye
4MD, Muğla Sıtkı Koçman Üniversitesi, Ophthalmology, Muğla, Türkiye
5MD, Giresun Üniversitesi, Ophthalmology, Giresun, Türkiye
6MD, Muğla Sıtkı Koçman Üniversitesi, Ophthalmology, Muğla, Türkiye
7Prof. Dr., Muğla Sıtkı Koçman Üniversitesi, Ophthalmology, Muğla, Türkiye DOI : 10.37844/glau.cat.2023.18.23 Purpose: To evaluate the effect of Pattern Scanning Laser Trabeculoplasty (PSLT) procedure on corneal subbasal nerve density (SND) and dendritic cell density (DCD) in refractory open-angle glaucoma cases with the help of in vivo confocal microscopy (IVCM).
Materials and Methods: This is a prospective cohort study of 15 eyes of 15 patients with various types of open-angle glaucoma that were treated with single session of PSLT. Patients demographic characteristics, type of glaucoma, and necessity of antiglaucoma treatments were evaluated. After full ophthalmological examination, IVCM was performed before and after PSLT. Follow-up visits were at 1 day, 1 week, 1 month.
Results: The mean age of the participants included in the study was 68.13±11.58 (56-86) years. According to glaucoma types; 53.3% of the participants were primary open-angle glaucoma, 40.0% were pseudoexfoliative glaucoma, and 6.7% were steroid induced glaucoma. There was no statistically significant difference between the SND values of pre-procedure, post-procedure 1st day, post-procedure 1st week, post-procedure 1st month. Post-procedure 1st day DCD values increased significantly compared to pre-procedure, the increase continued in the 1st week, and the difference disappeared by the 1st month. There was no significant difference in terms of both SND and DCD values before and after the procedure.
Conclusions: The increase in DND, after a single dose of PSLT, was reverted to baseline values as of the 1st month. This may be a biomarker that shows PSLT efficacy as well as the severity of the inflammatory state.
Keywords : Glaucoma, Selective laser trabeculoplasty, Pattern scanning laser trabeculoplasty, In vivo confocal microscopy, Dendritic cell density