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Dr. Mark Tomalla
Prof. Jens Funk and
Dr. Frau Cornelia Hirn
Dr. Prashant N. Vasa
Dr. Prin RojanaPongpun
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Dr. Ivan Goldberg
Ms. Madhu Nagar

Clinical Tips by:
Prateep Vyas, MD, Choithram Netralaya, Indore, India
Use the lowest energy setting needed in order to release champagne bubbles; start at 0.6-0.8 mJ and titrate upwards or downwards, as required.
In order to prevent post-procedural IOP spike, always administer miotics and a tab of Diamox 250mg one-hour prior to treatment.
Use a Latina lens due to its zero magnification.
Apply 50 spots over 180-degrees of the trabecular meshwork (TM); apply 100 spots over 360-degrees of the TM.

Note: it is possible to perform 360-degree treatment in one sitting, but always apply topical NSAID postprocedure e.g. Acular LS tid for three days, in order to prevent IOP spike.
A heavily pigmented TM requires less energy. Take care not to confuse pigmentation of Schwalbe’s line with pigmentation of the TM.
Focus the treatment beam over the full height of the TM in order to achieve optimal results.
Check IOP post procedure at onehour and four-hour intervals, at day 3 and 7, at week 4 and week 14, followed by quarterly check-ups.

Note: approximately 20 percent of patients experience an IOP spike following the procedure.
When performing repeat SLT, do not treat the same area of the TM within 12 months of initial treatment.
Wait one month in order to evaluate treatment performance; if target IOP is not achieved, continue anti-glaucoma medication.
CLINICAL TIPS - PRASHANT N. VASA