Over the 36 months of the trial, drops for oag and ocular hypertension cost an additional. This video provides a brief introduction to selective laser trabeculoplasty slt for treating openangle glaucoma. Pslt uses a preset pattern of laser spots to automate and speed up the laser application. May 11, 2015 selective laser trabeculoplasty slt has been used in the treatment of glaucoma for just over a decade. 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 how is selective laser. Following are some of the more commonly encountered complications associated with lt. Comparison of longterm outcomes of selective laser trabeculoplasty versus argon laser trabeculoplasty in open. Ultimately, the slt procedure can slow or stop the risk of disease progression. Selective laser trabeculoplasty slt selective laser trabeculoplasty, or slt, is a form of laser surgery that is used to lower intraocular pressure in glaucoma.
Pattern scanning laser trabeculoplasty pslt treatment for. Selective laser trabeculoplasty slt is a treatment for glaucoma, in which a laser is used to help drain the eye and relieve pressure. Selective laser trabeculoplasty slt is a laser treatment that is used to lower the intraocular pressure of the eye. To lower the eye pressure, a procedure known as selective laser trabeculoplasty slt may be carried out. Selective laser trabeculoplasty slt san antonio eye. Selective laser photocoagulation of communicating vessels.
The laser trabeculoplasty is used for patients with open angle types of glaucoma. The laser is very safe and can be repeated without causing any damage to the eye. It can also be used as initial treatment in glaucoma. We wondered if selective laser trabeculoplasty slt could be a useful alternative. It is used when eye drop medications are not lowering the eye pressure enough or are causing significant side effects. Selective laser trabeculoplasty reduces intraocular pressure by increasing aqueous outflow. Chronic treatment of glaucoma can present a challenge in patients who lack the means andor the discipline to use daily glaucoma medication. Selective laser trabeculoplasty slt is a procedure which can be performed to help promote control for glaucoma. It was initially indicated for openangle glaucoma but has been proven to be efficacious for various types of glaucoma.
Selective laser trabeculoplasty is often performed as firstline treatment for glaucoma and high eye pressure, thus avoiding the side effects and inconvenience of using eye drops daily on a longterm basis. To evaluate the efficacy of selective laser trabeculoplasty slt in the adjunctive treatment of medically diagnosed openangle glaucoma and to compare the difference in intraocular pressure iop. Learn about treating glaucoma with laser trabeculoplasty. Selective laser trabeculoplasty versus drops for newly diagnosed. To compare outcomes of selective laser trabeculoplasty slt with drug therapy for glaucoma patients in a prospective randomized clinical. The effect typically lasts from one to five years and the treatment can be repeated in appropriate settings. Alt has been used since 1978, while the slt was developed later. Michael richie covers the benefits of slt treatment for glaucoma and demonstrates an entire slt treatment procedure. Recently, selective laser trabeculoplasty slt has been demonstrated to lower the intraocular pressure iop and medication use in ntg. However, the risks should be balanced against the greater risk of leaving glaucoma untreated and losing your vision. The purpose of this study was to investigate the efficacy of a single session of slt for ntg at 1 year. Selective laser trabeculoplasty cincinnati slt treatments. Depending on your response, the laser may be repeated more than once. Sep 10, 2015 complications of selective laser trabeculoplasty.
Argon laser trabeculoplasty alt and selective laser trabeculoplasty slt. Slt is a laser procedure used to reduce eye intraocular pressure, associated with glaucoma, by changing the fluid outflow through the trabecular meshwork, which is a circular drainage. Selective laser trabeculoplasty versus eye drops for first. Trabeculoplasty laser treatment for glaucoma with pictures. Selective laser trabeculoplasty slt information for patients what is slt. Pattern scanning laser trabeculoplasty pslt treatment. Selective laser trabeculoplasty glaucoma consultants of. Selective laser trabeculoplasty slt has been widely used in the clinical management of glaucoma, both as primary and adjunctive treatment. Appendix 4 selective laser trabeculoplasty delivery protocol. Selective laser trabeculoplasty slt laser treatment to.
Alt, slt, mlt, meet pslt pattern scanning laser trabeculoplasty. Selective laser trabeculoplasty versus argon laser trabeculoplasty. Full text complications of selective laser trabeculoplasty. This video and other ophthalmology imagesvideos in hd are available for instant download licensing here.
Slt uses short pulses of low energy laser to target specific cells in the drainage system of the eye to stimulate improved function. 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. The two types of lasers used are the continuous wave laser argon or diode type for alt or the neodymium. Normal tension glaucoma ntg is commonly treated with antiglaucoma medications. 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. Studies into the procedure show a 78% success rate, and were proud to be one of the first hospital groups in the uk to offer this procedure. 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 slt is a laser treatment for elevated eye pressure and glaucoma. Selective laser trabeculoplasty as primary glaucoma therapy. Dec 01, 2017 autoplay when autoplay is enabled, a suggested video will automatically play next. Selective laser trabeculoplasty slt information for patients. Selective laser trabeculoplasty slt is a safe, quick, simple and noninvasive treatment option used to treat glaucoma.
The two types of laser trabeculoplasty are argon laser trabeculoplasty alt and selective laser trabeculoplasty slt. Slt stimulates the structure inside the eye, called trabecular meshwork, allowing more fluid drainage from. When the fluid that normally flows out of the eye cannot drain through the trabecular meshwork, pressure inside the eye may rise. Where does selective laser trabeculoplasty stand now. Get your team aligned with all the tools you need on one secure, reliable video platform.
It is used to reduce eye pressure either instead of, or in addition to, eye drop treatment. Selective laser trabeculoplasty slt is a procedure which can be performed to help reduce the intraocular pressure for patients with glaucoma. Selective laser trabeculoplasty glaucoma treatment richie. Ltp is used in the treatment of various openangle glaucomas.
Pdf complications of selective laser trabeculoplasty. If medications are not effective, laser and other surgical procedures could be of value in. Juzych ms, chopra v, banitt mr, hughes ba, kim c, goulas mt, et al. Comparison of longterm outcomes of selective laser trabeculoplasty versus argon laser trabeculoplasty in openangle glaucoma. Selective laser trabeculoplasty as a firstline therapy. Selective laser trabeculoplasty slt is a wellestablished treatment for poag with a comparable efficacy to medications and its high safety profile and repeatability being its greatest strengths 39. This rise in pressure could damage the optic nerve and lead to vision loss glaucoma. Pascal pattern scanning laser trabeculoplasty pslt on vimeo. Once reserved for eyes failing maximal medical therapy, trabeculoplasty is now offered significantly earlier in the treatment paradigm, often even as primary therapy. Slt is a laser procedure used to reduce eye intraocular pressure, associated with glaucoma, by changing the fluid outflow through the trabecular meshwork, which is a. To compare outcomes of selective laser trabeculoplasty slt with drug therapy for glaucoma patients in a prospective randomized clinical trial. If you have any further questions, please speak to a doctor or nurse caring for you. Once reserved for eyes failing maximal medical therapy, trabeculoplasty is now offered significantly earlier in.
Slt acts at a cellular level to specifically trigger thermolysis of pigmented trabecular meshwork tm cells, the process of which stimulates the release of proteins and cytokines, and recruitment of macrophages. A clear fluid called aqueous humor circulates inside the front portion of the eye to provide nourishment. Selective laser trabeculoplasty as the primary treatment. The procedure does not require admission to hospital and is carried out in the outpatients department. Selective laser trabeculoplasty slt is an inoffice procedure that reduces intraocular pressure in patients with glaucoma. Normal tension glaucoma ntg accounts for the majority of primary open angle glaucoma poag in asian countries like japan and korea 1, 2. Jan 14, 2016 selective laser trabeculoplasty is a laser treatment to treat glaucoma. Laser trabeculoplasty definition of laser trabeculoplasty. Selective laser trabeculoplasty slt has been used in the treatment of glaucoma for just over a decade.
Selective laser trabeculoplasty slt the eye institute of west. Selective laser trabeculoplasty slt is a glaucoma laser procedure used to lower the pressure in the eye. Selective laser trabeculoplasty versus eye drops for firstline. Julia song ophthalmology, long beach memorial medical center, long beach, ca, usa abstract. This leads to increased drainage of fluid from the eye and a lowering of the eye pressure. Autoplay when autoplay is enabled, a suggested video will automatically play next. Latina, md, inventor of selective laser trabeculoplasty slt, predicted that it has the potential to evolve as an ideal firstline treatment in openangle glaucoma. Pattern scanning laser trabeculoplasty pslt is a computerguided therapy that provides precise placement of the laser patterns along the trabecular meshwork, independent pascal pattern scanning laser trabeculoplasty pslt on vimeo. 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 slt offers several advantages. It is generally a mild treatment which is performed in an outpatient surgery center.
Up next selective laser trabeculoplasty glaucoma treatment richie eye clinic faribault mn duration. Selective laser trabeculoplasty slt is a relatively safe, simple and usually painless laser procedure that helps to reduce the eye pressure associated with glaucoma. Slt as primary therapy more surgeons are trying selective laser trabeculoplasty as frontline therapy for glaucomaand the results have been excellent. Laser energy is delivered to the drainage tissue of the eye called the trabecular meshwork. Pdf over the past two decades, selective laser trabeculoplasty slt has. Selective laser trabeculoplasty slt glaucoma research. The effect typically lasts from one to five years and the treatment can be repeated if appropriate. Selective laser trabeculoplasty is a type of laser treatment used for the treatment of glaucoma or raised intraocular pressure. The newer technique selective laser trabeculoplasty or slt uses a solidstate laser of 532nm wavelength.
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. The lumenis selecta trio represents the next generation of multimodality products, offering retinal, cataract and advanced glaucoma therapies in a single platform. The laser is utilized to treat the drainage system of the eye known as the trabecular meshwork. Slt vs medical therapy as initial treatment of glaucoma. Selective laser trabeculoplasty slt san antonio eye institute. Selective laser trabeculoplasty for glaucoma david. Selective laser trabeculoplasty slt is a laser procedure that relieves increased eye pressure by changing the fluid outflow through the trabecular meshwork.
Selective laser trabeculoplasty slt this video provides a brief introduction to selective laser trabeculoplasty slt for treating openangle glaucoma. Depending on the type of glaucoma you have and the exact situation. A video study of drop instillation in both glaucoma and retina patients with visual. Eyes of patients in the selective laser trabeculoplasty group were within target intracoluar pressure at. Although slt is not a new treatment, this glaucoma treatments placement in therapy is changing. What is pattern scanning laser trabeculoplasty pslt another device joins the laser trabeculoplasty glaucoma treatment party. The balance of fluid produced and drained inside the eye creates your eye pressure. Michael richie discusses selective laser trabeculoplasty, slt glaucoma treatment. 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, or slt, is an fdaapproved laser procedure for the treatment of openangle glaucoma.
The cost of selective laser trabeculoplasty over the duration of the trial was an additional. When the drain doesnt work well, the fluid that circulates in the eye cant. It is generally a mild treatment which can be done in the doctors office. Selective laser trabeculoplasty slt corneoplastic unit what is selective laser trabeculoplasty slt. Selective laser trabeculoplasty how is selective laser trabeculoplasty abbreviated. Selective laser trabeculoplasty is a laser treatment to treat glaucoma. In this procedure, a laser usually argon is used to create.
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. Selective laser trabeculoplasty, or slt, is a form of laser surgery that is used to lower intraocular pressure in glaucoma. The slt mechanism of effect does not rely on medicines, instead, it uses an advanced laser system to target only specific cells of the eyethose containing melanin, a natural pigment. The effectiveness of this laser treatment will depend somewhat on the pigment content of the trabecular meshwork. In recent years, selective laser trabeculoplasty has become widely accepted as a means to achieve moderate intraocular pressure reduction in select patients. Laser trabeculoplasty alt or slt is an office based procedure performed to lower eye pressure in patients with open angle glaucoma. Laser trabeculoplasty glaucoma institute new jersey nj.
Feb 12, 2015 as with all surgical procedures, there are risks associated with laser trabeculoplasty. Since its introduction in 2001, selective laser trabeculoplasty slt has significantly altered the traditional stepped treatment regimen for glaucoma management. 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. The concept of using light energy to open up the trabecular meshwork dates back to 1961. Yag laser tuned specially for this treatment selective laser trabeculoplasty, slt. 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. Pattern scanning laser trabeculoplasty pslt is a computerguided therapy that provides precise placement of the laser patterns along the trabecular meshwork, independent. Learn more about eye and vision care services at sharp healthcare in san diego. Slt selective laser trabeculoplasty is a safe and simple inoffice laser treatment that effectively reduces eye pressure for most patients with glaucoma. Sep 22, 2015 what is pattern scanning laser trabeculoplasty pslt another device joins the laser trabeculoplasty glaucoma treatment party. There are always risks associated with medications and surgery. Slt is an advanced treatment option that lowers eye pressure and increases fluid drainage. Laser trabeculoplasty ltp is the application of a laser beam to burn areas of the trabecular meshwork, located near the base of the iris, to increase fluid outflow.
Selective laser trabeculoplasty ellex medical lasers. Fortunately, angle scarring is seen in less than 3% of eyes treated with selective laser trabeculoplasty slt. The eye pressure is known as intraocular pressure iop. The effect of the laser is not permanent, wearing off within a few years. Selective laser trabeculoplasty glaucoma treatment richie eye. As data supporting the safety and efficacy of selective laser trabeculoplasty has gradually accumulated during the past several years, the popularity of the procedure has grown. Watch how slt selective laser trabeculoplasty, the recommended firstline therapy for glaucoma, gently reduces intraocular pressure. This laser is used to treat glaucoma by lowering eye pressure.