In-office selective laser trabeculoplasty (SLT)
Since glaucoma usually involves blockage of the trabecular meshwork (the drainage canals that let the fluid out of the eye to keep the pressure down), SLT was developed to stimulate these channels to open wider without causing the extensive inflammation and scarring associated with previous forms of laser treatment. SLT does not “poke holes” in the trabecular meshwork. It is a much weaker laser light which merely stimulates the tissues to remodel themselves, enlarging the pathways through which the aqueous fluid flows. The effect of SLT typically lasts a number of years and can then be repeated, resulting in an even more long-lasting effect. This effect can help to decrease the patient’s need for glaucoma eye drops, and in some patients, eliminate the need altogether.
SLT is typically a two-minute procedure which requires only anesthetic eye drops and is covered by insurance. Ophthalmology Associates has been proud to offer it in the office for over a decade.