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Selective Laser Trabeculoplasty: A Clinical Review
1Goldschleger Eye Institute, Sheba Medical Center, Tel Aviv University, Tel Hashomer, Israel; Glaucoma Clinical Fellow, New York Eye and Ear Infirmary, New York, USA.
Journal of Current Glaucoma Practice
|March 22, 2016
Summary
Selective laser trabeculoplasty (SLT) offers a safe and effective method for reducing intraocular pressure in glaucoma patients. This glaucoma treatment is beneficial as an initial therapy or when medications are insufficient, with minimal side effects.
Area of Science:
- Ophthalmology
- Medical Technology
Background:
- Glaucoma management often requires effective intraocular pressure (IOP) reduction.
- Selective laser trabeculoplasty (SLT) is a recognized treatment for glaucoma.
Purpose of the Study:
- To review the mechanisms and clinical outcomes of SLT.
- To address common clinical practice questions regarding SLT.
Main Methods:
- Review of peer-reviewed medical literature on SLT.
- Analysis of studies on SLT mechanisms and clinical efficacy.
Main Results:
- SLT effectively lowers IOP in all types of open-angle glaucoma across all races.
- SLT provides IOP reduction comparable to argon laser trabeculoplasty but with fewer side effects.
- Observed side effects of SLT are typically transient and minor.
Conclusions:
- Selective laser trabeculoplasty is a safe and effective treatment for lowering intraocular pressure in glaucoma patients.
- SLT is suitable as an initial treatment or adjunctive therapy for glaucoma.

