Abstract

Selective Trabeculoplasty in the Management of Open Angle Glaucoma: Retrospective Analysis at 1 Year

Highlights

  • In order to prevent the progressive and irreversible loss of optic nerve fibres, the treatment of glaucoma aims to effectively and lastingly reduce Intraocular Pressure (IOP) in affected patients

  • The energy required to perform Selective Laser Trabeculoplasty (SLT) is less than 1% than the one used with argon laser trabeculoplasty [6]

  • The clinical characteristics of the patients at baseline and the technical characteristics of the SLT laser treatment are described in Table 1 and Table 2

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Summary

Introduction

In order to prevent the progressive and irreversible loss of optic nerve fibres, the treatment of glaucoma aims to effectively and lastingly reduce Intraocular Pressure (IOP) in affected patients To this end, in addition to medical and surgical techniques, means of weakening the trabeculum by laser have been developed since the 1980s, following the pilot study by Wise and Witter [1]. The Latina study, which reported the possibility of targeting only the pigmented cells of the trabeculum using a selective laser delivering low-fluence spots, made possible the development of Selective Laser Trabeculoplasty (SLT) in 1998 [4,5] This technique uses a Q-Switched, frequency doubled Nd: YAG laser with a wavelength of 532 nm. Its sub-threshold treatment parameters and its wavelength of 532 nm, highly absorbed by melanin, have the advan-

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