SLT laser

SLT laser is a form of "cold laser" that does not burn the trabecular meshwork - rather it stimulates it to enhance drainage of fluid out of the eye. The results are modestly impressive - 5 year results indicate a 20-30% drop in eye pressure. It is a treatment that can be repeated, and surgery to control pressure can be delayed or postponed indefinitely as a result.

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SLT laser PDF Print E-mail
Written by Administrator   
Sunday, 11 November 2007

SLT laser is available as an option for use instead of a second line drop. In some studies show a very significant drop in IOP, an average of 7.7 mmHg after SLT in one study (1). 

(1) Melamed et al, Arch Ophthalmol 2003: 121 957-960.

SLT (Selective Laser Trabeculoplasty) is a safe and straight-forward office laser treatment that effectively significantly reduces the pressure in the eye for most patients with glaucoma. The SLT uses an advanced laser to target only certain specific cells of the eye  ie those containing melanin, a natural pigment found in the trabecular meshwork. This area is the region where fluid drains out of the eye. Laser treatment applied to this area can increase the drainage out, lowering eye pressure. Previously laser applied to achieve this effect required high energy powers, whereas SLT involves far less power to achieve gentle control of IOP.

SLT is akin to "dusting" the trabecular meshwork - ie wiping the surface clean gently.

Features of SLT:

  • Safe usage record: SLT is not associated with systemic side effects or the compliance and cost issues of medications.
  • Selective application: using selective photothermolysis SLT targets specific cells, leaving the surrounding tissue intact.
  • Smart mechanism of action: SLT stimulates natural mechanisms to lower eye pressure.
  • Sensible treatment of choice: SLT therapy is reimbursed by many insurance providers.

Vision loss from glaucoma is permanent but can usually be prevented with early detection and treatment. Glaucoma management is usually a lifelong process that requires frequent monitoring and constant treatment. Since there is no way to determine if glaucoma is under control based on how a person feels, doctor visits should be on a regular basis.
Last Updated ( Thursday, 15 November 2007 )
 
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Glaucoma medications are constantly improving and new agents combine prosta drugs and beta blockers. This improves 'compliance' ie how well the medication is taken, as many patients forget to take drops.

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Laser iridotomy is performed to reduce the risk of or to treat primary angle closure ("narrow angle glaucoma"). This type of glaucoma can be associated with longsightedness, and may run in the family, as with other types of glaucoma. Iridotomy is a safe procedure, and prevent angle closure in most cases, but does not eliminate the risk. Sometimes cataract surgery is preferred as a primary option.

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