Selective Laser Trabeculoplasty in Uncontrolled Pseudoexfoliation Glaucoma

Goldenfeld, Modi; Geyer, Orna; Segev, Eitan; Kaplan-Messas, Audrey; Melamed, Shlomo

doi:10.3928/15428877-20110630-01

Cited by 23 publications

(21 citation statements)

References 22 publications

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“…21 Laser trabeculoplasty is a relatively well-tolerated procedure, although clinicians should be aware of the risk of post-laser IOP spikes. 29 The reported incidence varies 23,30 and some have suggested that SLT may be less susceptible to IOP spikes compared with ALT because of reduced structural damage to the trabecular meshwork. 17,31 Prophylactic pretreatment with an IOP-lowering medication, such as apraclonidine, is usually administered before laser treatment to blunt potential IOP spikes, and the pressure elevation generally resolves within 24 to 48 hours with topical glaucoma therapy.…”

Section: Laser Trabeculoplastymentioning

confidence: 99%

“…17,31 Prophylactic pretreatment with an IOP-lowering medication, such as apraclonidine, is usually administered before laser treatment to blunt potential IOP spikes, and the pressure elevation generally resolves within 24 to 48 hours with topical glaucoma therapy. 20,23 ' Trabeculectomy Glaucoma surgery is generally undertaken when glaucomatous progression occurs or IOP is elevated to a level that progression is deemed likely, despite maximal medical therapy and appropriate laser treatment. It has been suggested that eyes with PXFG are at greater risk of surgical complications relative to POAG.…”

Section: Laser Trabeculoplastymentioning

confidence: 99%

See 1 more Smart Citation

Surgical Management of Pseudoexfoliation Glaucoma

Kornmann¹,

Gedde²

2014

International Ophthalmology Clinics

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Section: Laser Trabeculoplastymentioning

confidence: 99%

Section: Laser Trabeculoplastymentioning

confidence: 99%

Surgical Management of Pseudoexfoliation Glaucoma

Kornmann¹,

Gedde²

2014

International Ophthalmology Clinics

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“…Das PEX-Glaukom spielt aufgrund seiner Häufigkeit und Aggressivität eine wichtige Rolle. Die SLT kann beim PEX-Glaukom mit einem sehr guten drucksenkenden Effekt eingesetzt werden [29]. In der Effektivität zeigten sich auch keine Unterschiede zwischen ALT und SLT bei dieser Glaukomform [30].…”

Section: Wirksamkeit Der Slt In Abhängigkeit Von Der Glaukomformunclassified

Stellenwert der selektiven Lasertrabekuloplastik (SLT)

Schlote¹

2017

Klin Monatsbl Augenheilkd

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Worldwide, in recent years, selective laser trabeculoplasty (SLT) has developed into a very successful therapy for glaucoma. The article provides a review of the literature from PubMed and clinical experience. SLT is equally efficacious to argon laser trabeculoplasty (ALT) and to a first-line glaucoma medication. SLT can be used in most common forms of open-angle glaucoma and ocular hypertension. In contrast to ALT, SLT is repeatable and requires much less energy. SLT has been reported to be also successful in some rare forms of ocular hypertension/glaucoma. There is no negative influence of SLT to other forms of glaucoma treatment. Complications are rare and include intraocular pressure spikes, corneal scarring or corneal decompensation due to endothelial cell damage and cystoid macular edema. The potential of SLT as a first-line treatment of glaucoma is now under investigation. SLT is a low-risk procedure to treat glaucoma in a broad range of indications. Advantages of SLT include the potential to use SLT more and more as a primary treatment procedure. Therefore, SLT is now under intensive investigation worldwide.

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“…SLT is recommended not only in the treatment of POAG and OHT but also pseudoexfoliation (PXE), pigmentary glaucoma, normal tension glaucoma (NTG), steroid-induced glaucoma and as prophylaxis for anticipated steroid-induced ocular hypertension [15][16][17][18][19][20]. It was also successfully performed after deep sclerectomy, trabectome, trabeculectomy and retinal detachment repair with silicone oil [21][22][23].…”

Section: Indications Of Sltmentioning

confidence: 99%

Selective laser trabeculoplasty for open angle glaucoma

Liput

Tan

2017

OphthaTherapy

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Selective laser trabeculoplasty (SLT) is an important treatment option in open angle glaucoma. It has been shown to be as effective as argon laser trabeculoplasty in primary open angle glaucoma while having an improved safety profile. Its use is also indicated for other subtypes of open angle glaucoma (OAG) such as pseudoexfoliation (PXE) and pigmentary glaucoma. In this review, we present the current literature on the role of SLT in treating OAG. The indications, duration of effect, repeatability, cost effectiveness and clinical effectiveness of SLT were reviewed. Available evidence comparing SLT with ALT and medical treatment are also presented. We also discuss the applicability of SLT for PXE, pigmentary glaucoma, normal tension glaucoma and advanced OAG. Lastly, the complications of SLT and areas of further research are discussed.

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Selective Laser Trabeculoplasty in Uncontrolled Pseudoexfoliation Glaucoma

Abstract: SLT is safe and effective in patients with PEXG.

Cited by 23 publications

References 22 publications

Surgical Management of Pseudoexfoliation Glaucoma

Surgical Management of Pseudoexfoliation Glaucoma

Stellenwert der selektiven Lasertrabekuloplastik (SLT)

Selective laser trabeculoplasty for open angle glaucoma

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