Is laser trabeculoplasty the new star in glaucoma treatment?
Purpose of review
For decades, laser trabeculoplasty has been a well-proven therapeutic option in glaucoma management, and more recently, it has only gained in popularity. One reason for such popularity is that selective laser trabeculoplasty (SLT) is a therapy independent of patient adherence, which is typically low among glaucoma patients. Consequently, the number of studies on SLT has multiplied throughout the past years. This review provides an overview of studies on SLT from the last 12 months.
Recent findings
The studies on treatment outcome show a wide range of success rates of SLT reaching between 18 and...
Source: Current Opinion in Ophthalmology - February 13, 2021 Category: Opthalmology Tags: GLAUCOMA: Edited by Donald L. Budenz Source Type: research
New strategies for the management of ocular surface disease in glaucoma patients
Purpose of review
Glaucoma patients commonly suffer from ocular surface disease (OSD). As treatment strategies, medications and devices for the treatment of OSD as well as glaucoma surgical approaches evolve rapidly, it is important to consider their application to these patients.
Recent findings
OSD in glaucoma patients may lead to reduced reliability of diagnostic tests, decreased medication compliance, poor surgical outcomes, and overall decreased quality of life. Chronic use of topical glaucoma medications has been linked to the development of limbal stem cell deficiency, and the role of preservatives in OSD...
Source: Current Opinion in Ophthalmology - February 13, 2021 Category: Opthalmology Tags: GLAUCOMA: Edited by Donald L. Budenz Source Type: research
Intraocular pressure-lowering effects of ripasudil, a rho-kinase inhibitor, and selective laser trabeculoplasty as adjuvant therapy in patients with uncontrolled glaucoma
ConclusionsAdjuvant SLT or ripasudil in patients with inadequately controlled glaucoma both reduced IOP to a similar degree, but SLT contributed to reducing the number of medications used. (Source: International Ophthalmology)
Source: International Ophthalmology - February 1, 2021 Category: Opthalmology Source Type: research
[Preliminary selective laser trabeculoplasty (SLT) intraocular pressure results in glaucoma patients in Burkina Faso].
CONCLUSION: SLT reduces IOP and the number of glaucoma medications in patients. It appears to be a viable alternative in our countries. These results should be confirmed with a larger cohort and longer follow-up.
PMID: 33494971 [PubMed - as supplied by publisher] (Source: Journal Francais d Ophtalmologie)
Source: Journal Francais d Ophtalmologie - January 28, 2021 Category: Opthalmology Tags: J Fr Ophtalmol Source Type: research
Trabecular Microbypass Stent and Phacoemulsification in African American Patients With Open-angle Glaucoma: Outcomes and Effect of Prior Laser Trabeculoplasty
Precis:
In African American patients with glaucoma, iStent/phacoemulsification lowered intraocular pressure and reduced glaucoma medication usage for up to 1 year, even in patients with prior selective laser trabeculoplasty (SLT).
Purpose:
Currently, no studies have examined the outcomes of a trabecular microbypass stent and phacoemulsification in African American patients. Here, the authors investigate whether iStent/phacoemulsification decreases intraocular pressure (IOP) and/or medication usage in African American patients with glaucoma. They are also interested in whether prior SLT would affect outcomes of i...
Source: Journal of Glaucoma - January 1, 2021 Category: Opthalmology Tags: Original Studies Source Type: research
Impact of Video Education on Patient Knowledge, Anxiety, and Satisfaction in Selective Laser Trabeculoplasty: A Pilot Study
Conclusion:
Patients undergoing SLT had high levels of knowledge, low levels of anxiety, and high levels of satisfaction. In this clinical setting, an educational video seemed to have no additional benefit on these metrics and thus, may be omitted. Further research may be directed toward optimizing patient education regarding SLT, particularly in settings with poor health literacy, limited resources, or limited access to glaucoma specialists. (Source: Journal of Glaucoma)
Source: Journal of Glaucoma - December 1, 2020 Category: Opthalmology Tags: Original Studies Source Type: research
Influence of Selective Laser Trabeculoplasty (SLT) on the iStent inject ® outcomes
To evaluate the influence of Selective Laser Trabeculoplasty (SLT) on iStent inject ® outcomes in open-angle glaucoma (OAG). (Source: BMC Ophthalmology)
Source: BMC Ophthalmology - November 19, 2020 Category: Opthalmology Authors: Anna-Karina B. Maier, Parisa Arani, Milena Pahlitzsch, Anja-Maria Davids, Daniel Pilger, Matthias K. J. Klamann and Sibylle Winterhalter Tags: Research article Source Type: research
The Effect of Selective Laser Trabeculoplasty on Intraocular Pressure in Patients with Dexamethasone Intravitreal Implant-Induced Elevated Intraocular Pressure.
Conclusion: SLT is an effective and safe procedure to control OHT following DEX-implant intravitreal injection.
PMID: 33110658 [PubMed] (Source: Journal of Ophthalmology)
Source: Journal of Ophthalmology - October 29, 2020 Category: Opthalmology Tags: J Ophthalmol Source Type: research
Factors associated with favorable laser trabeculoplasty response: IRIS Registry Analysis
We examined patients in a large clinical registry to assess factors associated with laser trabeculoplasty (LTP) responses. (Source: American Journal of Ophthalmology)
Source: American Journal of Ophthalmology - October 10, 2020 Category: Opthalmology Authors: Ta C. Chang, Richard K. Parrish, Danielle Fujino, Scott P. Kelly, Elizabeth A. Vanner Tags: Original Articles Source Type: research
Efficacy and Safety of Selective Laser Trabeculoplasty among Ethiopian Glaucoma Patients.
Conclusion: SLT is an effective and safe treatment modality for OHT, POAG, and PXG among Ethiopian patients either as a first-line treatment or as an adjunct to topical glaucoma treatment.
PMID: 33014442 [PubMed] (Source: Journal of Ophthalmology)
Source: Journal of Ophthalmology - October 6, 2020 Category: Opthalmology Tags: J Ophthalmol Source Type: research
Beliefs and Attitudes of Ophthalmologists Regarding SLT as First Line Therapy for Glaucoma
Conclusions:
A better understanding of the barriers for utilizing SLT as a first line therapy provides valuable information to help increase the adoption of this safe and effective procedure. A targeted educational intervention may improve acceptance of SLT as first line therapy for open angle glaucoma. (Source: Journal of Glaucoma)
Source: Journal of Glaucoma - October 1, 2020 Category: Opthalmology Tags: Original Studies Source Type: research
Laser trabeculoplasty for open-angle glaucoma: a systematic review and network meta-analysis
To comprehensively evaluate the effectiveness of different types of laser trabeculoplasty (LT) in the treatment of open-angle glaucoma. (Source: American Journal of Ophthalmology)
Source: American Journal of Ophthalmology - August 31, 2020 Category: Opthalmology Authors: Rouxi Zhou, Yi Sun, Haiying Chen, Sha Sha, Miao He, Wei Wang Source Type: research
Laser Iridoplasty to Treat Iris-occluded XEN Gel Stent
Conclusions:
ALPI can effectively restore XEN Gel stent patency if occluded by the iris and should be considered before attempting more invasive surgical revisions. (Source: Journal of Glaucoma)
Source: Journal of Glaucoma - August 1, 2020 Category: Opthalmology Tags: Online Articles: Case Report/Small Case Series Source Type: research
