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Dr. Prateep Vyas
Prof. Jens Funk and
Dr. Frau Cornelia Hirn
Dr. Prashant N. Vasa
Dr. Prin RojanaPongpun
Dr. David Gosiengfiao
Dr. Enping Chen
Dr. Ivan Goldberg
Ms. Madhu Nagar

Clinical Tips by:
Mark Tomalla, MD, Clinic Niederrhein, Clinic for Refractive and Ophthalmic Surgery, Duisburg, Germany
  1. I always offer my patients an opportunity to choose from the entire spectrum of glaucoma therapy currently available, ranging from primary drug therapy to surgical intervention with a shunt. It is important that patients are made aware of all of the treatment options available to them.
  2. I have found SLT to be quick and easy to perform. The procedure itself takes only five minutes, and the larger spot size makes it easy to aim the laser beam on the trabecular meshwork.
  3. When performing SLT, I apply 360-degree treatment in order to achieve uniform filtration. It is also apparent from recent publications that 360-degree SLT treatment is the most effective.
  4. The level of energy applied during SLT treatment depends on the occurrence of champagne bubbles; that is, I titrate the energy level upwards until I can see bubble formation.
  5. In my opinion, additional drug treatment is not required when performing SLT. I do not apply additional medications either pre- or postoperative; for example, to prevent paradoxical increase in IOP. In addition, the use of additional anti-inflammatory medication is not necessary.
CLINICAL TIPS - PRASHANT N. VASA