Selective laser trabeculoplasty for glaucoma just got a. Laser energy is delivered to the drainage tissue of the eye called the trabecular meshwork. The outflow of aqueous humor is then enhanced and the iop is lowered. The laser is applied through a special contact lens to the drainage system of the eye where it stimulates a biochemical change that improves the outflow of fluid from the eye. Selective laser trabeculoplasty glaucoma consultants of. Get laser focused on the appropriate glaucoma treatment. May 09, 20 selective laser trabeculoplasty slt is a safe and effective treatment modality for lowering the intraocular pressure in patients with glaucoma. Slt is an advanced treatment option that lowers eye pressure and increases fluid drainage. Selective laser trabeculoplasty slt is an effective, safe and simple procedure to improve eye pressure control. Sep 05, 2014 10 ways to optimize treatment with slt this increasingly utilized procedure allows for a significant reduction in iop without impacting the patients quality of life. The laser is applied through a special contact lens to the drainage system of the eye where it stimulates a biochemical change that improves the.
Slt gently stimulates the structure inside the eye, called the trabecular meshwork, to remove more fluid from the eye thus reducing the pressure. If you have any questions about laser trabeculoplasty for openangle glaucoma, you should discuss them with your eye m. Selective laser trabeculoplasty slt does not rely on any medication or filtration surgery to improve drainage. Slt is used when eye drop medications are not successful in lowering the iop and are causing significant side effects. Patient information selective laser trabeculoplasty slt introduction this leaflet is for patients undergoing selective laser trabeculopasty slt clinical indications of slt glaucoma can sometimes be treated successfully with medications to lower the pressure in the eye. Selective laser trabeculoplasty glaucoma treatment. Efficacy of selective laser trabeculoplasty for normal. Transscleral selective laser trabeculoplasty slt without a. This leads to increased drainage of fluid from the eye and a lowering of the eye pressure. It can also be used as initial treatment in glaucoma. However, the risks should be balanced against the greater risk of leaving glaucoma untreated and losing your vision. Selective laser trabeculoplasty slt information for patients.
Recently, selective laser trabeculoplasty slt has been demonstrated to lower the intraocular pressure iop and medication use in ntg. Depending on your response, the laser may be repeated more than once. Normal tension glaucoma ntg is commonly treated with antiglaucoma medications. Selective laser trabeculoplasty, or slt, is a form of laser surgery that is used to lower intraocular pressure in glaucoma. Important information about selective laser trabeculoplasty slt. Selective laser trabeculoplasty slt has been widely used in the clinical management of glaucoma, both as primary and adjunctive treatment. Selective laser trabeculoplasty slt san antonio eye institute. It achieves its results by selective absorption of energy in the trabecular pigmented cells, sparing adjacent cells and tissues from thermal damage, with minimal morphological tissue alteration. Slt uses short pulses of low energy laser to target specific cells in the drainage system of the eye to stimulate improved function. Slt has been shown to be effective in various glaucomas. The laser treatment is applied whilst you sit at a modified slit lamp or the examination microscope similar to the one used to examine your eyes by the. Selective laser trabeculoplasty in dortmund is one of the core competences of dr. Comparison of longterm outcomes of selective laser trabeculoplasty versus argon laser trabeculoplasty in open.
Selective laser trabeculoplasty is a type of laser treatment used for the. Slt stimulates the structure inside the eye, called trabecular meshwork, allowing more fluid drainage from. Developing an ltp device for delivering multiple simultaneous transscleral applications of low energy laser irradiation to the trabecular meshwork tm for reducing intraocular pressure iop. Instead of generally burning tissue as in alt, slt selectively stimulates or changes only specific pigmented cells to activate increased fluid drainage. To demonstrate disposable trabeculoplasty lens damage after routine selective laser trabeculoplasty slt for primary open angle glaucoma. Mark latina, inventor of selective laser trabeculoplasty slt, explains how the technology and approach were conceived, the presumed mechanism of action, and which glaucoma patients are best candidates for the treatment. Ultimately, the slt procedure can slow or stop the risk of disease progression.
To compare the efficacy of subthreshold and conventional selective laser trabeculoplasty slt in lowering intraocular pressure iop in the patients with primary openangle glaucoma poag. Yag laser is used with pulse duration of 3 nsec and a spot size of 400. Selective laser trabeculoplasty glaucoma treatment nacogdoches. Instead, slt uses an advanced cool laser system to target only specific pigmented cells of the tm those containing melanin, a natural pigment. Slt vs medical therapy as initial treatment of glaucoma. It was initially indicated for openangle glaucoma but has been proven to be ef. Selective laser trabeculoplasty slt is a glaucoma laser procedure used to lower the pressure in the eye. Selective laser trabeculoplasty slt laser treatment to. The lens has a single reflecting surface which is the preferred standard for slt procedures and features. Selective laser trabeculoplasty for glaucoma just got a whole. Here you will find detailed information on the topic. Selective laser trabeculoplasty slt this leaflet explains more about having slt, including the benefits, risks and alternatives, and what you can expect when you come to hospital. To study the role of selective laser trabeculoplasty slt in intraocular pressure iop reduction in postlaser iridotomy primary angleclosure disease patients with. Selective laser trabeculoplasty slt slt is the newest type of laser treatment for openangle glaucoma.
It is generally a mild treatment which is performed in an outpatient surgery center. Slts safety profile includes mild and transient inflammation, ocular pain, and a small risk of moderate iop elevations after the procedure. Intraocular pressurelowering potential of subthreshold. Once reserved for eyes failing maximal medical therapy, trabeculoplasty is now offered significantly earlier in the treatment paradigm, often even as primary therapy. Selective laser trabeculoplasty v argon laser trabeculoplasty. Your doctor will discuss when to book your next appointment. Slt as primary therapy more surgeons are trying selective laser trabeculoplasty as frontline therapy for glaucomaand the results have been excellent. Microsoft word selective laser trabeculoplasty rvw april 19 author. Selective laser trabeculoplasty pittsburgh eye institute. Slt is used when eye drop medications are not successful in lowering the iop and are. Efficacy of selective laser trabeculoplasty in primary angle.
Selective laser trabeculoplasty slt is an inoffice procedure that reduces intraocular pressure in patients with glaucoma. Selective laser trabeculoplasty slt is a procedure which can be performed to help promote control for glaucoma. Selective laser trabeculoplasty slt was launched in 1998 by latina et al. Selective laser trabeculoplasty slt may be repeated multiple times so long as there is an initial ioplowering response to the first treatment. Developing a onesecond automatic glaucoma treatment using transscleral laser trabeculoplasty ltp without a gonioscopy lens purpose. This laser lowers intraocular pressure iop by selectively targeting pigmented tm cells while leaving cellular membranes and neighboring nonpigmented. This pulse duration is too short for melanin to convert the electromagnetic energy to thermal energy, which means that no heat is generated. The pressure will need to be checked to confirm the laser has worked and it may take 4 to 12 weeks to see the full effect of the treatment. The effect typically lasts from one to five years and the treatment can be repeated in appropriate settings. It is used when eye drop medications are not lowering the eye pressure enough or are causing significant side effects. Transscleral selective laser trabeculoplasty without a gonioscopy. It achieves its results by selective absorption of energy in the trabecular pigmented cells, sparing adjacent. Jan 14, 2016 selective laser trabeculoplasty is a laser treatment to treat glaucoma.
To compare outcomes of selective laser trabeculoplasty slt with drug therapy for glaucoma patients in a prospective randomized clinical trial. Fiftytwo eyes from fiftytwo poag patients were randomized into two groups, one group treated with subthreshold slt using twothirds of the conventional. Dec 01, 2017 selective laser trabeculoplasty glaucoma treatment richie eye clinic faribault mn duration. Selective laser trabeculoplasty slt information for patients what is slt. Selective laser trabeculoplasty is an advancement over the previous nonselective lasers that have been used safely and effectively in the treatment of open angle glaucoma for more than two decades.
When the drain doesnt work well, the fluid that circulates in the eye cant. Pdf complications of selective laser trabeculoplasty. Laser induced damage to disposable singlemirror trabeculopl. Selective laser trabeculoplasty is considered a safe and effective procedure with few risks. The effect typically lasts from one to five years and the treatment can be repeated if appropriate. As a result, your bodys own healing response expands the microscopic pores in the tm, enhancing aqueous humor drainage and helping to lower the iop. To study the role of selective laser trabeculoplasty slt in intraocular pressure iop reduction in post laser iridotomy primary angleclosure disease patients with inadequately controlled iop. Selective laser trabeculoplasty, or slt, is an fdaapproved laser procedure for the treatment of openangle glaucoma. Selective laser trabeculoplasty slt selective laser trabeculoplasty slt is a type of laser surgery that is used to decrease the intraocular pressure iop in glaucoma patients. Selective laser trabeculoplasty slt triad eye institute. Selective laser trabeculoplasty or slt is a laser procedure performed for patients with glaucoma or high eye pressure. Selective laser trabeculoplasty slt is an advanced type of laser treatment to manage patients with openangle glaucoma. Selective laser trabeculoplasty glaucoma education. It is generally a mild treatment which can be done in the doctors office.
Pdf over the past two decades, selective laser trabeculoplasty slt has increasingly become an. Slt has been a popular option since i was a medical student. This laser is used to treat glaucoma by lowering eye pressure. Transscleral selective laser trabeculoplasty without a gonioscopy lens. The objective of the surgery is to help fluids drain out of the eye, reducing intraocular pressure that can cause damage to the optic nerve and loss of vision. Prior to the procedure, a topical anesthetic drop is placed on the eye and a contact lens is placed on the eye. As data supporting the safe ty and efficacy of selective laser trabeculoplasty has gradually accumulated during the past several years, the popularity of the procedure has grown.
In recent years, selective laser trabeculoplasty has become widely accepted as a means to achieve moderate intraocular pressure reduction in select patients. Chamber angle examination and selective laser trabeculoplasty procedures designed specifically for selective laser trabeculoplasty, the volk slt lens delivers the highest resolution imaging of the angle for examination and laser treatment. Selective laser trabeculoplasty american academy of. If you have any further questions, please speak to a doctor or nurse caring for you. Designed specifically for selective laser trabeculoplasty, the volk slt lens delivers the highest resolution imaging of the angle for examination and laser. Its a great way to delay the need for surgery or additional medications, andunlike drops and surgeryit allows. The purpose of this study was to investigate the efficacy of a single session of slt for ntg at 1 year.
It was initially indicated for openangle glaucoma but has been proven to be efficacious for various types of glaucoma. Development of glaucoma animation, open angle vs angle. The effectiveness of this laser treatment will depend somewhat on the pigment content of the trabecular meshwork. Selective laser trabeculoplasty glaucoma treatment richie eye clinic faribault mn duration.
Selective laser trabeculoplasty slt san antonio eye. Selective laser trabeculoplasty slt is a safe and effective treatment modality for lowering the intraocular pressure in patients with glaucoma. Slt is an outpatient laser used to selectively target the pigmented trabecular meshwork cells in the angle of the eye. Slt can be performed on the same day as most examinations and the whole procedure takes 5 minutes of less. Introducing the rapid slt four views are better than one volk. Efficacy of selective laser trabeculoplasty in primary. The effect of the laser is not permanent, wearing off within a few years. Fiftytwo eyes from fiftytwo poag patients were randomized into two groups, one group treated with subthreshold slt using twothirds of the conventional energy and the other one. Since its introduction in 2001, selective laser trabeculoplasty slt has significantly altered the traditional stepped treatment regimen for glaucoma management. The balance of fluid produced and drained inside the eye creates your eye pressure.
Selective laser trabeculoplasty versus argon laser trabeculoplasty. Chamber angle examination and selective laser trabeculoplasty procedures. Selective laser trabeculoplasty is a laser treatment to treat glaucoma. The slt uses a combination of frequencies that allow the laser to work at very low levels that allow the procedure to be safely repeated many times. Volks rapid slt lens cuts down selective laser trabeculoplasty slt procedure time by almost 50% and minimizes the need for lens rotation. Selective laser trabeculoplasty slt is a new procedure performed to lower intraocular pressure iop. There are always risks associated with medications and surgery. Selective laser trabeculoplasty as primary glaucoma.
Selective laser trabeculoplasty slt is a relatively safe, simple and usually painless laser procedure that helps to reduce the eye pressure associated with glaucoma. Jun 29, 2014 selective laser trabeculoplasty glaucoma treatment richie eye clinic faribault mn duration. Selective laser trabeculoplasty slt is a laser treatment that is used to lower the intraocular pressure of the eye. Selective laser trabeculoplasty was found to be equally efficacious as latanoprost in reducing intraocular pressure in newly diagnosed openangle glaucoma and ocular hypertension over. David richardson offers selective laser trabeculoplasty slt as an outpatient procedure in his san marino eye office. A gonio lens treated to withstand laser light levels can be used during the procedure of. Fluid in the eye aqueous is produced by the ciliary body, and drains out through the trabecular meshwork drainage pathway. Selective laser trabeculoplasty was found to be equally efficacious as latanoprost in reducing intraocular pressure in newly diagnosed open. Selective laser trabeculoplasty slt is a procedure which can be performed to help reduce the intraocular pressure for patients with glaucoma. The most common type of laser surgery performed for openangle glaucoma is called argon laser trabeculoplasty alt. Designed specifically for selective laser trabeculoplasty, the volk1 single use slt lens delivers the highest resolution imaging of the trabecular meshwork for examination and laser treatment in a disposable design. Selective laser trabeculoplasty as primary glaucoma therapy. Where does selective laser trabeculoplasty stand now.
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