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SLT would be the desired first line of treatment for many ocular hypertensives and those with a recent diagnosis of open angle glaucoma, simply from an improved lifestyle point of view. A significant amount of visual loss from glaucoma is caused by poor patient compliance with eye drops either because older patients forget to instil their drops or patients dislike the side effects they cause
Initially it has been usual to treat glaucoma and ocular hypertension with eye drops such as a prostaglandin analogue, adding a second or third drop such as beta-blockers or carbonic anhydrase inhibitors or alpha agonists if further pressure lowering effect is needed. We then turned to laser and then surgery such as trabeculectomy if inadequate control could be obtained with drops alone or ocular allergy, toxicity and/or serious systemic side effects meant they had to be discontinued.
Laser Trabeculoplasty is the most common laser procedure in open angle glaucoma. In the 1990’s, we had Argon Laser Trabeculoplasty (ALT). This was used in to the early 2000’s. Since then, Selective Laser Trabeculoplasty (SLT) has largely taken over.
Please visit Matheson Optometrists for a wealth of information about eye conditions and their treatment.
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