SELECTIVE LASER TRABECULOPLASTY

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Selective Laser Trabeculoplasty overview

The SLT treatment is a highly effective approach for first-line glaucoma treatments, adjunct therapy with drugs, and alternative therapy when drugs fail. The Solo uses short pulses of low-energy light to target the melanin in specific cells of the affected eye. In response, the body’s natural healing mechanisms rebuild these cells, improving drainage and lowering intraocular pressure. The surrounding, non-pigmented cells – as well as the rest of the eye structure –are untouched and undamaged.

How do you know Selective Laser Trabeculoplasty is right for you?

The best way to determine if you have residual vision is to observe if you subjectively see anything, even if the vision is very small, foggy, or just light and dark perception. Test are are designed to detect deficits as early as possible.

At a glance
CONDITIONS TREATED

Glaucoma

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Leonard Teye-Botchway

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Selective Laser Trabeculoplasty- Further details

Selective Laser Trabeculoplasty (SLT) is one of the most significant advances in the surgical treatment of intraocular pressure (IOP) in patients with open-angle glaucoma.

This repeatable, non-invasive treatment promotes cellular regeneration without the burn and scar tissue associated with other laser procedures. Before the introduction, medications and argon laser trabeculoplasty (ALT) were the ophthalmologist’s primary tools.

Treatment

The intracellular microdisruption triggered by the laser is confined to the targeted cells. The laser activates specific biological mechanisms and minimizes thermal diffusion to surrounding non-pigmented cells, rather than coagulating or ablating tissue. The laser pulse is so short that heat caused within the targeted cells doesn’t have time to spread to surrounding tissue.

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Frequently asked questions about Selective Laser Trabeculoplasty

SLT is safe and effective, and is not associated with systemic adverse effects.
Patient compliance is not an issue. SLT is performed by a physician and does not require patient compliance between physician visits.

SLT provides economic benefits for the patient and the physician. Laser trabeculoplasty is a Medicare-covered procedure and is reimbursable under CPT code 65855.

New short-pulse, low fluence selective technology of the Selecta system provides pressure-lowering effects for your patients without compliance risks or systemic side effects.
Because of the specific wavelength of light generated, as well as the power and duration of the exposure, SLT selectively targets pigmented cells in the trabecular meshwork and causes no discernable damage to adjacent tissue. Researchers have found treated and untreated tissue to be nearly indistinguishable.

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Memberships and Accreditations

About the author

Leonard Teye-Botchway
Consultant Ophthalmic Physician and Surgeon |MBChB, FRCS(G), MBA, FWACS, FGCS, DCEH (Lond), Postgraduate Diploma in Cataracts and Refractive Surgery

I am Leonard Teye-Botchway and I am the Medical Director and Consultant Ophthalmologist at Bermuda International Institute of Ophthalmology in Bermuda. The joy and elation I get from seeing patients who are very happy they can see after surgery is almost unimaginable. This is what really drives me to carry on being an ophthalmologist.

We have sourced some or all of the content on this page from The American Academy of Ophthalmology, with permission.

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