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Dr. Prashant N. Vasa
Dr. Prin RojanaPongpun
Dr. David Gosiengfiao
Dr. Enping Chen
Dr. Ivan Goldberg
Ms. Madhu Nagar
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| Clinical Tips by:
Enping Chen, MD, Stockholm, Sweden
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| 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. |
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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. |
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CLINICAL TIPS - DR. ENPING CHEN
