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Dr. Mark Tomalla
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Dr. Prashant N. Vasa
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Dr. Ivan Goldberg
Ms. Madhu Nagar

Clinical Tips by:
Enping Chen, MD, Stockholm, Sweden

 
It is important to provide patients with educational information on SLT so that they will understand the purpose, the procedure and the risk of complications associated with SLT before undergoing treatment.
Treatment should be performed just below the level of energy at which champagne bubbles are formed. To do this, determine the level of energy required for bubble formation and then reduce it by 0.1mJ before beginning treatment. For trabecular meshwork without pigmentation, it could be diffi cult to see the air bubbles. An energy level of 1.2-1.4 mJ is usually enough in this case.
Adjust the energy level during treatment according to the pigmentation of the trabecular meshwork.
SLT may be performed with 25 laser effects on 90 degrees of the trabecular meshwork.

If the target pressure is not achieved, the treatment may be performed in another quadrant after a couple of months.
Anti-infl ammatory agents are not necessary in most cases.
Preventive hypotensive agents are not necessary in most cases.
CLINICAL TIPS - DR. ENPING CHEN