Welcome to the message board forum for Krukenbergs Spindle and Pigment Dispersion Syndrome.
Here you will be able to post messages or reply to messages posted by other people... share your experiences of PDS or Krukenbergs.
Tracy's Message Board Forum
Welcome to the message board forum for Krukenbergs Spindle and Pigment Dispersion Syndrome. Here you will be able to post messages or reply to messages posted by other people... share your experiences of PDS or Krukenbergs. |
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| Author | Comment |
Marie
 IP: 24.71.10.251 Oct 11, 07 - 10:58 AM |
slt laser surgery
Hi, I've been on the travatan drops for about 4 months now, and the pressure is down (which is great) but I'm just not very good at the medication thing. So at a checkup today I asked the doctor about other treatments and he signed me up for selective trabeculoplasty (slt). The way he explained it, the laser is directed at the trabecular meshwork, which stimulates the body to clean up the area, and increase flow of fluid. He said that it is quick and very safe, the biggest risk being that it wouldn't work well enough and I'd have to stay on the drops. I like the guy well enough but sometimes I get a funny feeling about him, and things always seem to happen so fast. So has anyone had this procedure done, or know more about the risks? (I read the posts about yag laser, but it sounded a bit different). Thanks! |
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Dave
IP: 193.62.251.16 Oct 11th, 2007 - 3:23 PM |
Re: slt laser surgery
Selective Laser Trabeculoplasty (SLT) has become a popular choice of therapy in Primary Open Angle Glaucoma (POAG) in recent years. Large scale studies have shown it to be as effective as medications in reducing Intra Ocular Pressure (IOP), albeit with a increased chance of cataract formation & significant failure rate as time goes on. Pigmentary Glauocoma (PG), although similar to POAG has some diferences which seem to effect this treatment modality. People with PG are more likely to get a good response early on but suffer failure later. They are more likely to get a good result if they are treated younger. Some authors argue that SLT should be coupled with preventative treatment of iris shape to avoid further pigment release. Incidentally, these findings are from the older protocol of laser trabeculoplasty which pre-dates SLT, although we would not effect the differences to any great degree. Risks are generally small but can include transient pain, damage to the area that the laser is being applied to & late rise in IOP. I, personally, have seen this more indicated as a short term alternative or addition to medical therapy but don't doubt that you could get some benefit, but it may only last for a 5yrs. After that time, it is very likely that further steps would have to be taken. But this is a decision for you & your ophthalmologist. Hope this helps. Dave |
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