Selective Laser Trabeculoplasty in Northern Ghana

We present an audit in Northern Ghana. A total of 283 selective laser trabeculoplasties (SLTs) were done between September 2021 and September 2024. Because of collinearity between right and left eye response to therapy, 145 eyes in 145 individuals with primary open angle glaucoma were included in the analysis. Outcomes were assessed at 1,3,6 and 12 months post index procedure. A success proportion of 75% (33/44) for any reduction in IOP from baseline and 57% (25/44) for a reduction of ≥20% was seen at one year post index SLT. No complications were seen. These findings are directly comparable to those from a major African centre but lower than Caucasian studies. This proof of effect in a rural setting adds to the evidence supporting use of this therapy as an important element in primary open angle glaucoma management in this region.