Selective Laser Trabeculoplasty


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About Selective Laser Trabeculoplasty

Further loss of sight in people with glaucoma can be prevented by various treatments that attempt to lower the pressure within the eye (the Intra-ocular Pressure – IOP). If your eye surgeon has recommended Selective Laser Trabeculoplasty (SLT) it is usually because you have open-angle glaucoma in the early stages.

With regards to treatment, either eye drops are not a suitable treatment or eye drops alone have not lowered your IOP enough to prevent further damage to your sight. The Selective Laser Trabeculoplasty procedure will help you to keep the sight that you still have, but will not improve your sight or restore any sight that you may have already lost.

Selective Laser Trabeculoplasty is an outpatient clinic procedure in which the ophthalmologist applies short pulses of relatively low energy light (laser) to an area towards the front of the eye.

This area is called the trabecular meshwork, which is towards the front of the eye & around the periphery of the iris. It is where fluid that is formed within the eye drains out of the eye. The application of the laser to the trabecular meshwork appears to alter its biological function in such a way as to effectively produce a reduction in the IOP.
Selective Laser Trabeculoplasty helps preserve sight in people with open-angle glaucoma by producing a change in the biological drainage function of the trabecular meshwork of the eye, typically resulting in a reduction of the raised IOP.

The SLT procedure is quick and typically painless, and can be performed as an outpatient procedure.

The IOP is carefully monitored during the very important post-treatment clinic visit and important interventions may need to be done, depending on the IOP found on assessment at the follow-up clinic.

In the majority of patients, a Selective Laser Trabeculoplasty will achieve a low IOP about 8 weeks after the procedure is done, although typically patients already using eye drops for glaucoma will still need to continue with their use.
A common short term effect is that vision will be blurred for a few hours following treatment.

The pressure in the eye may possibly increase after the treatment. Extra eye pressure drops may be needed after the laser treatment. Rarely, surgery may be required in the very unusual event that the eye pressure rises to a very high pressure and does not come down.

There may be some inflammation in the eye immediately after treatment. Treatment with anti-inflammatory drops may be needed.
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Our Consultant ophthalmic surgeons specialize in Glaucoma treatment, Cataract surgery, Retinal disorders, Paediatric eye conditions such as Squint and Lazy Eye, and Chalazion removal. At our clinic, assessment of your eye condition will include a thorough examination, and many tests can be performed conveniently in-house.

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Our Consultant surgeons are among the highest-level ophthalmic surgeons available in the UK. Trained at Moorfields & centres of excellence both within the UK and internationally, our ophthalmic consultant team offers a combination of experts, focussed on the best quality eye care, not found in any other clinic.

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