In a study that compared slt to a prostaglandin analog, researchers found similar efficacy without the toxicity, costs, and compliance challenges. Selective laser trabeculoplasty slt corneoplastic unit what is selective laser trabeculoplasty slt. Slt uses short pulses of low energy laser to target specific cells in the drainage system of the eye to stimulate improved function. Selective laser trabeculoplasty slt information for patients. Laser trabeculoplasty alt, slt, mlt for glaucoma youtube. Dec 01, 2017 autoplay when autoplay is enabled, a suggested video will automatically play next. Selective laser trabeculoplasty as primary glaucoma.
Topical medications are the mainstay of glaucoma therapy and are responsible for most of the dollars spent on glaucoma management. Click on image to see it on alila medical media website where the image is also available for licensing together with other related images and videos. Selective laser trabeculoplasty slt is a relatively safe, simple and usually painless laser procedure that helps to reduce the eye pressure associated with glaucoma. A clear fluid called aqueous humor circulates inside the front portion of the eye to provide nourishment. There are always risks associated with medications and surgery. Microsoft word selective laser trabeculoplasty rvw april 19 author. Of course, there are exceptions, but they are rare. Yag laser capsulotomy, laser peripheral iridotomy lpi, and selective laser trabeculoplasty slt on an artificial eye model that can be used in competencybased medical education cbme of ophthalmology residents. Up next selective laser trabeculoplasty glaucoma treatment richie eye clinic faribault mn duration. Glaucoma today research update on laser trabeculoplasty. Fortunately, angle scarring is seen in less than 3% of eyes treated with selective laser trabeculoplasty slt.
Now argon laser trabeculoplasty has been around for a few decades. It is generally a mild treatment which is performed in an outpatient surgery center. 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. Laser trabeculoplasty came to the fore more than 20 years ago when the glaucoma laser trial glt showed that eyes treated initially with argon laser trabeculoplasty alt had lower intraocular. Jan 14, 2016 selective laser trabeculoplasty is a laser treatment to treat glaucoma.
Feb 12, 2015 1 harasymowycz pj, papamatheakis dg, latina m, et al. However, the risks should be balanced against the greater risk of leaving glaucoma untreated and losing your vision. This video and other ophthalmology imagesvideos in hd are available. Lightmed medical laser technologies selective laser. The balance of fluid produced and drained inside the eye creates your eye pressure. This surgery makes it easier for fluid to flow out of the front part of the eye, decreasing pressure in the eye. If you have any further questions, please speak to a doctor or nurse caring for you. 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.
Selective laser trabeculoplasty slt glaucoma research. Micropulse cyclophotocoagulation mp3 glaucoma laser surgery. The laser is used to treat the trabecular meshwork, through which the aqueous humor drains. Trabeculoplasty laser treatment for glaucoma with pictures. Competencybased education assessment tools for laser.
Selective laser trabeculoplasty glaucoma consultants of. Please note that the pressurelowering effect of the laser is not permanent, and can last from 6 months to 2 years plus. Misconceptions about selective laser trabeculoplasty slt. Laser trabeculoplasty trabeculoplasty is a laser procedure performed for the treatment of open angle glaucoma.
Selective laser trabeculoplasty as primary glaucoma therapy. Argon laser trabeculoplasty in the presurgical glaucoma patient. Please view the slt video at uk which further explains the procedure. This laser is used to treat glaucoma by lowering eye pressure. Selective laser trabeculoplasty was performed inferiorly for 6 h and then added selective laser trabeculoplasty performed superiorly for 6 h, 1 week later. It is used to reduce eye pressure either instead of, or in addition to, eye drop treatment. Where does selective laser trabeculoplasty stand now. Fluid in the eye aqueous is produced by the ciliary body, and drains out through the trabecular meshwork drainage pathway. The term glaucoma refers to a characteristic pattern of damage to the optic nerve. Depending on the type of glaucoma you have and the exact situation, your doctor will select the type of treatment that is appropriate for you. Complete slit lamp biomicroscopy, visual acuity, iop, gonioscopy, and mydriatic funduscopy were performed pre and posttreatment for 6 months.
Laser trabeculoplasty uses a very focused beam of light to treat the drainage angle of the eye. Latina, md, inventor of selective laser trabeculoplasty slt, predicted that it has the potential to evolve as an ideal firstline treatment in openangle glaucoma. Selective laser trabeculoplasty, or slt, is an fdaapproved laser procedure for the treatment of openangle glaucoma. Selective laser trabeculoplasty slt was launched in 1998 by latina et al. Selective laser trabeculoplasty slt a treatment for glaucoma introduction the aim of this information sheet is to help answer some of the questions you may have about having selective laser trabeculoplasty slt. Laser energy is delivered to the drainage tissue of the eye called the trabecular meshwork. Selective laser trabeculoplasty is one of greatest advances in the surgical treatment of intraocular pressure in patients with open angle glaucoma watch to learn more about glaucoma laser treatments for open angle and angle closure glaucoma. Selective laser trabeculoplasty glaucoma education. Selective laser trabeculoplasty slt is a laser treatment that is used to lower the intraocular pressure of the eye. This video provides a brief introduction to selective laser trabeculoplasty slt for treating openangle glaucoma. Selective laser trabeculoplasty slt is a procedure which can be performed to help reduce the intraocular pressure for patients with glaucoma. Selective laser trabeculoplasty is an effective and safe treatment option for patients with openangle glaucoma, and has also demonstrated efficacy in other forms of openangle glaucoma. This prospective cohort study recruited ntg patients taking antiglaucoma. Selective laser trabeculoplasty slt san antonio eye institute.
Slt selective laser trabeculoplasty works by stimulating a natural healing response. Argon laser trabeculoplasty alt and selective laser trabeculoplasty slt. Selective laser trabeculoplasty versus drops for newly diagnosed. Slt vs medical therapy as initial treatment of glaucoma. Its a great way to delay the need for surgery or additional medications, andunlike drops and surgeryit allows for a significant.
Selective laser trabeculoplasty is a laser treatment to treat glaucoma. Slt stimulates the structure inside the eye, called trabecular meshwork, allowing more fluid drainage from. Slt has been shown to be effective in various glaucomas. Trabeculoplasty is a laser treatment for primary openangle glaucoma. Repeatability of selective laser trabeculoplasty for open. Selective laser trabeculoplasty slt complicated by intraocular pressure elevation in eyes with heavily pigmented trabecular meshworks.
To produce competencybased education assessment tools cbeat for performance of neodymiumdoped yttrium aluminum garnet nd. The newer technique selective laser trabeculoplasty or slt uses a. Selective laser trabeculoplasty how is selective laser trabeculoplasty abbreviated. Selective laser trabeculoplasty slt has been widely used in the clinical management of glaucoma, both as primary and adjunctive treatment. Selective laser trabeculoplasty versus argon laser trabeculoplasty.
Selective laser trabeculoplasty slt is a relatively new type of laser in treating openangle glaucoma oag and is reported to be equally efficacious to a first line. Support us on patreon and get free downloads and other great rewards. If selective laser trabeculoplasty does not work initially approximately 20% do not succeed the first time, a second treatment often does. In recent years, selective laser trabeculoplasty has become widely accepted as a means to achieve moderate intraocular pressure reduction in select patients. Selective laser trabeculoplasty slt laser treatment to. Selective laser trabeculoplasty or slt is a laser procedure performed for patients with glaucoma or high eye pressure. Selective laser trabeculoplasty slt is a procedure which can be performed to help promote control for glaucoma. The original laser trabeculoplasty procedure applies argon laser of 514nm nano meter wavelength on half of the meshwork circle in one treatment. Selective laser trabeculoplasty slt san antonio eye. It was initially indicated for openangle glaucoma but has been proven to be efficacious for various types of glaucoma. Up next selective laser trabeculoplasty slt dr jed lusthaus duration. Selective laser trabeculoplasty or commonly known as slt is often used to lower the intraocular pressure to treat open angle glaucoma.
The purpose of this study was to investigate the efficacy of a single session of slt for ntg at 1 year. The lumenis selecta trio represents the next generation of multimodality products, offering retinal, cataract and advanced glaucoma therapies in a single platform the units integrated design, enhanced optics system and advanced laser cavity make the trio one of the highest performing laser products in the market maximum flexibility with minimum footpri. A laser is a device that emits a focused beam of light at one. The ultra q reflex and tango reflex systems provide treatment. Pdf over the past two decades, selective laser trabeculoplasty slt has. Slt has been a popular option since i was a medical student. Normal tension glaucoma ntg is commonly treated with antiglaucoma medications. Cost of selective laser trabeculoplasty vs topical. Autoplay when autoplay is enabled, a suggested video will automatically play next. In conclusion, selective laser trabeculoplasty is successful in the initial and repeat treatment of openangle glaucomas. Sep 06, 2018 in a study that compared slt to a prostaglandin analog, researchers found similar efficacy without the toxicity, costs, and compliance challenges. 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. Selective laser trabeculoplasty or slt for glaucoma. The treatment is indicated to lower the intraocular pressure iop associated with the disease just as effectively as medication, ensuring greater health, time savings, financial benefits and fewer sideeffects.
Selective laser trabeculoplasty slt is a glaucoma laser procedure used to lower the pressure in the eye. The effectiveness of this laser treatment will depend somewhat on the pigment content of the trabecular meshwork. Utilization of laser trabeculoplasty increased after the 2001 introduction of selective laser trabeculoplasty slt but later plateaued and has begun to decrease again. Yag laser is used with pulse duration of 3 nsec and a spot size of 400. Selective laser trabeculoplasty slt is a laser treatment for elevated eye pressure and glaucoma. Selective laser trabeculoplasty is considered a safe and effective procedure with few risks.
If you have any questions about laser trabeculoplasty for openangle glaucoma, you should discuss them with your eye m. Selective laser trabeculoplasty or slt is a laser procedure considered to be the standard of care in treatment for primary open angle glaucoma poag. Efficacy of selective laser trabeculoplasty for normal. Slt works by applying selective photothermolysis of the pigmented trabecular meshwork cells. Appendix 4 selective laser trabeculoplasty delivery protocol. This scenario has included patients who have had an initial successful treatment with 360degree slt lasting at least 6 months, with the effect wearing off over time. Although a second treatment can be performed on the other half of the circle, the procedure is generally not repeatable as it causes extensive scarring of the trabecular meshwork. It is used when eye drop medications are not lowering the eye pressure enough or are causing significant side effects.
To compare outcomes of selective laser trabeculoplasty slt with drug therapy for glaucoma patients in a prospective randomized clinical trial. 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 for glaucoma after. The effect typically lasts from one to five years and the treatment can be repeated if appropriate. Selective laser trabeculoplasty slt information for patients what is slt. This pulse duration is too short for melanin to convert the electromagnetic energy to thermal energy, which means that no heat is generated. 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. Generally, the effect is maintained for about a year with each treatment. The units integrated design, enhanced optics system and advanced laser cavity make the trio one of the highest performing laser products in the market maximum flexibility with minimum footprint. Selective laser trabeculoplasty is a type of laser treatment used for the treatment of glaucoma or raised intraocular pressure. 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.
The effect of the laser is not permanent, wearing off within a few years. Selective laser trabeculoplasty how is selective laser. When the drain doesnt work well, the fluid that circulates in the eye cant. In a trabeculoplasty procedure, a laser beam is applied to the drainage channels, which helps to unclog them. This prospective cohort study recruited ntg patients taking anti. Selective laser trabeculoplasty slt selective laser trabeculoplasty, or slt, is a form of laser surgery that is used to lower intraocular pressure in glaucoma. Recently, selective laser trabeculoplasty slt has been demonstrated to lower the intraocular pressure iop and medication use in ntg. Since its introduction in 2001, selective laser trabeculoplasty slt has significantly altered the traditional stepped treatment regimen for glaucoma management. Selective laser trabeculoplasty v argon laser trabeculoplasty. Selective laser trabeculoplasty versus medical therapy as initial treatment of glaucoma. Your doctor will discuss when to book your next appointment. It is generally a mild treatment which can be done in the doctors office.
The effect typically lasts from one to five years and the treatment can be repeated in appropriate settings. Selective laser trabeculoplasty eye surgery laser equipment. Depending on your response, the laser may be repeated more than once. 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.
Selective laser trabeculoplasty is a type of laser treatment used for the. The selective laser trabeculoplasty machine is made by lumenis. Selective laser photocoagulation of communicating vessels. Selective laser trabeculoplasty slt is an inoffice procedure that reduces intraocular pressure in patients with glaucoma.
Jun 17, 2014 trabeculoplasty is a laser treatment for primary openangle glaucoma. Aqueous column crosssectional area following our selective laser trabeculoplasty protocol we performed hvi on 8 eyes immediately before and 10 minutes after slt. It is often recommended as an option when intraocular pressure iop is not adequately controlled by medications alone, however can be performed as an initial means of lowering iop in appropriate patients. Selective laser trabeculoplasty slt a treatment for glaucoma. This leads to increased drainage of fluid from the eye and a lowering of the eye pressure.