Glaucoma laser terapy MLT micropulse laser SLT ALT

2. DESENZANO 11 Novembre 2016

5. LASER & TECNOLOGIA

6. FOTOCOAGULAZIONE
DESTRUENTE

9. 9

10. 10

11. Laser Trabeculoplasty for Glaucoma
ALT vs SLT, Animation
1.

12. SLT Clinical Footage Treatment
Protocol

13. 13

14. • SLT incorporates "cold laser" technology Which Results less thermal damage to the
trabecular meshwork architecture than that caused by the argon laser.
• SLT achieves isolated destruction of the pigmented trabecular meshwork cells.
There is minimal or no thermal or collateral damage to the surrounding non-
pigmented cells because the energy output during SLT is 100 times less than that
of ALT, and the pulse duration is much shorter.
• Precise Targeting Not Required for SLT.
• Endothelial membrane formation on the trabecular meshwork, usually found in
eyes treated with ALT, is not typically observed after SLT.
• ALT produces crater formation, coagulative damage, fibrin deposition and
disruption of trabecular beams and endothelial cells.

15. Author/Year Eyes IOP Decrease
Damji,1999 18 ALT
18 SLT
22%
21%
Popiela,2000 27 ALT
27 SLT
13.0%
13.4%
Martinez-de-la-
casa,2004
20 ALT
20 SLT
19.5%
22.2%

18. New Laser Glaucoma Treatment Cyclo G6
Replacing Traditional Surgery
2.

19. IRIDEX CYCLO G 6

20. ECP laser for glaucoma during
cataract surgery

21. Endoscopic Cyclophotocoagulation
(ECP) Curved Endoscopes
3.

22. Endoscopic Cyclophotocoagulation
(ECP) Open Angle Glaucoma

23. The IOPtimate a CO2 Laser Assisted
System for surgically treating glaucoma
5.

27. 2D Biometrics (CCD,IR, Laser, Scanner) 1D Biometrics