Selective laser trabeculoplasty as an initial treatment. Slt vs medical therapy as initial treatment of glaucoma. To evaluate the effectiveness and the safety of the selective laser trabeculoplasty in patients affected by open angle primary glaucoma. Selective laser trabeculoplasty, or slt, is a form of laser surgery that is used to lower intraocular pressure in glaucoma. 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. Slt trabeculoplastia laser selectiva tecnologia ioico. Lightmed medical laser technologies selective laser. It is used when eye drop medications are not lowering the eye pressure enough or are causing significant side effects. This helps reduce intraocular pressure caused by openangle glaucoma see also. Laser trabeculoplasty alt or slt is an office based procedure performed to lower eye pressure in patients with open angle glaucoma. Device description the quantel medical optimis fusion is. Laser trabeculoplasty glaucoma institute new jersey nj.
Fabricarea implanturilor prin topire selectiva laser. The optic nerve carries images from the retina lightsensitive layer at the back of the eye to the brain, allowing you to see. Longterm outcomes of selective laser trabeculoplasty slt. 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 medication and argon laser. Trabeculoplastia selectiva con laser slt, por sus siglas en ingles. 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. Predicate devicelumenis family of selecta ophthalmic laser systems, delivery device and accessories. Argon laser trabeculoplasty alt was introduced about 25 years ago and involves the use of a bluegreen argon laser major wavelength peaks at 488 nm and 514 nm to treat the outer part of the trabecular meshwork and thereby improve aqueous flow and thus reduce iop.
Selective laser trabeculoplasty versus argon laser trabeculo. Optimis fusion is a versatile laser platform combining yag photodisruption treatments and advanced slt photoregeneration therapy in one fully integrated. 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. A retrospective study of 60 eyes is carried out of 37 patients who suffered a chronic simple glaucoma of open angle, to that which it made them a alt. Lasers in glaucoma summarizing lasers in glaucoma are an important part of the armamentarium in the management. Micropulse laser trabeculoplasty mlt versus selective. The handful of analyses that compared laser and medication favor laser as being more costeffective.
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 slt ophthalmology version 1. Trabeculoplastia selectiva con laser en glaucoma selective laser trabeculoplasy in the treatment of glaucoma by ailen garces fernandez, ibrain piloto diaz, maritza miqueli rodriguez, marerneda dominguez randulfo and liamet fernandez argones. 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. Trabeculoplastia selectiva como alternativa terapeutica en. Group 6 1 areej alsuwaida 2 razan alhabeeb 3 riam almutawa 4 suaad. In the laser room, you will be seated at the laser instrument, and a drop of anesthetic will be placed in the eye. Trabeculoplastia selectiva con laser en glaucoma scielo cuba. K08 1704carl zeiss meditec visulas yag 1ll k0429quantel medical solutis k933 4. Selective laser trabeculoplasty slt is an inoffice procedure that reduces intraocular pressure in patients with glaucoma. Glaucoma is a group of diseases affecting the optic nerve that results in vision loss and is frequently characterized by raised intraocular pressure iop. Revise the last contributions in the treatment of the glaucoma with argon laser trabeculoplasty alt and contribute our experience. To compare outcomes of selective laser trabeculoplasty slt with drug therapy for glaucoma patients in a prospective randomized clinical. It was not until 1979 that wise and witter3 described a modified technique to perform argon laser trabeculoplasty, which subsequently gained acceptance as an.
Introducing optimis fusion, a new sltyag laser quantel medical. Specifically, argon laser is used to improve drainage through the eyes trabecular meshwork, from which the aqueous humour drains. Because costs for laser treatment are incurred early, while those for medication accumulate over time, the duration of a study influences the assessment of costeffectiveness. The technicians will perform various tests including, but not limited to, checking your vision, obtaining eye pressures and dilation.
Selective laser trabeculoplasty is a type of laser treatment used to help your open angle glaucoma. A special lens, which directs the laser energy to the eyes drainage angle, then will be placed on the eye along with some gel to allow the lens to fit properly. Selective laser trabeculoplasty is a laser treatment to treat glaucoma. Marshall, a randomized, prospective study comparing selective laser trabeculoplasty with latanoprost. It is done on an argon laser equipped slit lamp, using a goldmann gonioscope lens mirror. One of the main problems in openangle glaucoma is that the eyes drain does not work as well as in a normal eye. In this procedure, a laser usually argon is used to create. The typical examination consists of multiple elements in a staged approach to provide both you and your physician with the most accurate information possible, ensuring quality care. Selective laser trabeculoplasty as primary glaucoma. Selective laser trabeculoplasty or slt is a laser procedure considered to be the standard of care in treatment for primary open angle glaucoma poag. Trabeculoplasty with two different lasers in cats, monkeys and humans.
It was initially indicated for openangle glaucoma but has been proven to be efficacious for various types of glaucoma. Several situations exist when laser therapy may prove beneficial to the control of intraocular pressure, in association with medical therapy and may enhance quality of life by preserving visual function. Selective laser trabeculoplasty slt is a rather new treatment alternative. Trabeculoplastia selectiva con laser en glaucoma selective. Trabeculectomy diverts aqueous humour from the anterior chamber inside the eye to the space under the conjunctiva the transparent skin that. 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. Pdf trabeculoplasty with two different lasers in cats. Compare slt and alt, in terms of iop lowering, in patients with openangle glaucoma oag, in an adequately powered, randomized, clinical trial. 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.
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