SLT induces little inflammation: anti-inflammatory drops do not make a significant difference in pain, redness, cells in anterior chamber, or peak IOP following SLT.The IOP-lowering effect of the SLT is not influenced by the use of Indomethacin or Dexamethasone.
Selective laser trabeculoplasty (SLT) enabled a reduction in number of medications while maintaining good IOP control. Selective laser trabeculoplasty (SLT) was able to completely replace medical therapy in 77% of eyes after 18 months. Selective laser trabeculoplasty (SLT) as replacement therapy may reduce local and systemic side-effects and prevent adherence issues.
BackgroundChronic treatment of glaucoma can present a challenge in patients who lack the means and/or the discipline to use daily glaucoma medication. We wondered if selective laser trabeculoplasty (SLT) could be a useful alternative.MethodsInclusion criteria: controlled trials comparing efficacy of SLT in adult patients with any form of open angle glaucoma or ocular hypertension and case reports on side effects of SLT. Two recent meta-analyses identified eight randomized clinical trials (RCTs) comparing the effect of SLT with medication (prostaglandin analogs) and with argon laser trabeculoplasty (ALT). We took these eight RCTs as reference base and calculated their success rates where they were not given. Other articles were added to elaborate on technique and side effects.ResultsMean intraocular pressure (IOP) reduction after SLT was 3.8–8.0 mmHg after 6 months to 1 year. Mean success rate of SLT at 6 months to 1 year is 55–82 %. Higher IOP before laser predicts a higher IOP-lowering effect. In terms of mean IOP reduction, reduction in number of medications and treatment success, the effect of SLT was found to show no clinically relevant difference from that of contemporary medication (prostaglandin analogs) and from ALT.ConclusionsThe evidence indicates that SLT is an efficacious primary or adjunctive therapy for treating glaucoma.
The Automated Meteorology–Ice/Indigenous species–Geophysics Observation System (AMIGOS) consists of a set of measurement instruments and camera(s) controlled by a single-board computer with a simplified Linux operating system and an Iridium satellite modem supporting two-way communication. Primary features of the system relevant to polar operations are low power requirements, daily data uploading, reprogramming, tolerance for low temperatures, and various approaches for automatic resets and recovery from low power or cold shutdown. Instruments include a compact weather station, single- or dual-frequency GPS, solar flux and reflectivity sensors, sonic snow gauges, simplified radio-echo sounder, and resistance thermometer string in the firn column. In the current state of development, there are two basic designs. One is intended for in situ observations of glacier conditions. The other supports a high-resolution camera for monitoring biological or geophysical systems from short distances (100 m to 20 km). The stations have been successfully used in several locations for operational support, monitoring rapid ice changes in response to climate change or iceberg drift, and monitoring penguin colony activity. As of August 2012, there are nine AMIGOS systems installed, all on the Antarctic continent or in the surrounding ocean.
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