Micropulse laser trabeculoplasty mlt versus selective. It was initially indicated for openangle glaucoma but has been proven to be efficacious for various types of glaucoma. Laser trabeculoplasty final report prepared for romana hasnainwynia, phd, ms ayodola anise, mhs patientcentered outcomes research institute addressing disparities program 1919 m street, nw suite 250 washington, dc 20036 prepared by shivani reddy, md msc meera viswanathan, phd ma andrew kraska, ba. Pdf where does selective laser trabeculoplasty stand now. It can also be used as initial treatment in glaucoma. Vision panamerica, the panamerican journal of ophthalmology.
To investigate the efficacy and safety of selective laser trabeculoplasty its an initial treatment for newly diagnosed openangle glaucoma, and its role as adjunctive therapy. Selective laser trabeculoplasty glaucoma consultants of. Standardized tool for measurement of health services costs. Selective laser trabeculoplasty, or slt, is a form of laser surgery that is used to lower intraocular pressure in glaucoma. It is generally a mild treatment which can be done in the doctors office. Micropulse laser trabeculoplasty mlt versus selective laser trabeculoplasty slt for treatment of open angle glaucoma the safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Selective laser trabeculoplasty is a laser treatment to treat glaucoma. Laser trabeculoplasty is a modern intraocular pressure ioplowering procedure that aims to reduce iop by means of laser treatment directed at the trabecular meshwork. To evaluate the effectiveness and the safety of the selective laser trabeculoplasty in patients. There are many glaucoma surgeries, and variations or combinations of those surgeries, that facilitate the escape of excess aqueous humor from the eye to lower intraocular pressure, and a few that lower iop by decreasing the. Selective laser trabeculoplasty is a type of laser treatment used to help your open angle glaucoma.
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 education fort. Laser treatment of the trabecular meshwork tm was first described in 1973 by worthen and wickham1 using an argon laser to perform trabeculoplasty and krasnov2 using a qswitched ruby laser to perform goniopuncture or laseropuncture. Micropulse laser trabeculoplasty mlt versus selective laser.
Lightmed medical laser technologies selective laser. The treatment is painless due to the anaesthetic drops used to numb your eye beforehand. Trabeculoplastia selectiva laser en pacientes glaucomatosos. With the patient seated at the laser slitlamp system, a goldmann threemirror goniolens was placed on the eye with methylcellulose 1%. Patients whose eye pressure is still too high even though they are already on 1 or more eye medications or are intolerant to some of the eye drops due to allergy or other sideeffects are good candidates for. To compare outcomes of selective laser trabeculoplasty slt with drug therapy for glaucoma patients in a prospective randomized clinical trial. Paao 2019 trabeculoplastia selectiva laser duration. This leads to increased drainage of fluid from the eye and a lowering of the eye pressure. Hospital universitari vall dhebron, barcelona contres. Yag for use in procedures such as capsulotomy, membranotomy, lysis of.
Predicate devicelumenis family of selecta ophthalmic laser systems, delivery device and accessories. The heliumneon aiming beam was focused onto the pigmented tm. Aunque son tratamientos laser y aunque comparten nombres similares son tratamientos totalmente diferentes. Trabeculoplastia selectiva como alternativa terapeutica en. Selective laser trabeculoplasty slt this leaflet explains more about having slt, including the benefits, risks and. Selective laser trabeculoplasty or slt is a laser procedure considered to be the standard of care in treatment for primary open angle glaucoma poag.
Crsteurope laser trabeculoplasty versus filtering surgery. The laser is capable of delivering pulse energies ranging from 0. Slt trabeculoplastia laser selectiva tecnologia ioico. Laser trabeculoplasty definition of laser trabeculoplasty. Trabeculoplastia laser selectiva, lumenis, selecta ii. It is used when eye drop medications are not lowering the eye pressure enough or are causing significant side effects.
Selective laser trabeculoplasty slt is an inoffice procedure that reduces intraocular pressure in patients with glaucoma. Laser trabeculoplasty glaucoma institute new jersey nj. More recently, micropulse laser technology used a dutycycle algorithm that delivers subthreshold treatment to ocular tissues without scar formation, making it safe to apply the laser directly over the fovea for the treatment of macular edema in diabetic retinopathy, retinal vein occlusion, and central serous chorioretinopathy. Laser trabeculoplasty alt or slt is an office based procedure performed to lower eye pressure in patients with open angle glaucoma. 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. Desprendimiento coroideo pdf desprendimiento coroideo seroso bilateral tras trabeculoplastia selectiva laser. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. This helps reduce intraocular pressure caused by openangle glaucoma see also.
Slt vs medical therapy as initial treatment of 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. Dec 11, 2015 more recently, micropulse laser technology used a dutycycle algorithm that delivers subthreshold treatment to ocular tissues without scar formation, making it safe to apply the laser directly over the fovea for the treatment of macular edema in diabetic retinopathy, retinal vein occlusion, and central serous chorioretinopathy. Micropulse laser trabeculoplasty for the treatment of open. Selective laser trabeculoplasty slt is a laser treatment that is used to lower the intraocular pressure of the eye. Jan 14, 2016 selective laser trabeculoplasty is a laser treatment to treat glaucoma.
Selective laser trabeculoplasty slt is a procedure which can be performed to help promote control for glaucoma. Trabeculectomy diverts aqueous humour from the anterior chamber inside the eye to the space under the conjunctiva. In this procedure, a laser usually argon is used to create. It is done on an argon laser equipped slit lamp, using a goldmann gonioscope lens mirror. Argon laser has many applications as a thermal laser, including ltp, iridoplasty or gonioplasty, pretreatment for iridotomy, pupilloplasty, and retinal laser. Su oculista le puede sugerir este procedimiento en cualquier momento. The alternatives to this laser treatment are to start or continue with eye drops to lower the pressure in your eye, or surgery. Download citation trabeculoplastia selectiva laser en pacientes glaucomatosos objective. The optic nerve carries images from the retina lightsensitive layer at the back of the eye to the brain, allowing you to see. Selective laser trabeculoplasty slt ophthalmology version 1. This lens allows the doctor to view your eye clearly so they can apply the laser to the drainage channels. Glaucoma is a group of diseases affecting the optic nerve that results in vision loss and is frequently characterized by raised intraocular pressure iop. Selective laser trabeculoplasty as primary glaucoma.
K08 1704carl zeiss meditec visulas yag 1ll k0429quantel medical solutis k933 4. Laser energy is delivered to the drainage tissue of the eye called the trabecular meshwork. It was not until 1979 that wise and witter3 described a modified technique to perform argon laser trabeculoplasty, which subsequently. Device description the quantel medical optimis fusion is an ophthalmic surgical laser designed. The effect typically lasts from one to five years and the treatment can be repeated in appropriate settings. The doctor will put a special contact lens on your eye before applying the laser beam. Investigations into laser treatments of openangle glaucoma began in the early 1970s, but not until the late 1980s was ltp adopted as a standard treatment for the condition. Specifically, argon laser is used to improve drainage through the eyes trabecular meshwork, from which the aqueous humour drains. Slt is limited to laser trabeculoplasty, although one version of the instrument incorporates a 1064nm wavelength nd. One of the main problems in openangle glaucoma is that the eyes drain does not work as well as in a normal eye.
560 1270 1008 242 794 502 1176 1431 635 319 253 304 1069 393 1178 1354 516 808 990 224 416 1228 684 1043 420 105 269 386 1205 1418 1254 1085