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Doctor insights on: Trabeculoplasty

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What is a trabeculoplasty?

What is a trabeculoplasty?

Laser Tx 4 glaucoma: Trabeculoplasty, by using one of several FDA approved laser delivery modalities, is a treatment for lowering intraocular pressure in open-angle glaucoma. Selective Laser Trabeculoplasty is the most commonly used treatment modality that I use in patient's likely to respond well to laser treatment. ...Read more

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How long does it take to recover from a trabeculoplasty?

How long does it take to recover from a trabeculoplasty?

1 to 2 days: Your vision should be clear. And your eye comfortable one to two days after the procedure. ...Read more

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What risks and complications are associated with a trabeculoplasty?

What risks and complications are associated with a trabeculoplasty?

Trab: Risk=It may not work. Works about 75%. side effects= Increase in eye pressure, usually of short duration and controled by drops give at time of procedure. Inflammation usually of short duration and controled with drops if necessary. Either can cause slight blur and slight pain. Usually the procedure is very benign. ...Read more

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I want to know if selective laser trabeculoplasty is safe?

I want to know if selective laser trabeculoplasty is safe?

Yes: Slt is used to lower the pressure in glaucoma. It is minimally invasive and safe. As with all lasers, some inflammation or tempoary rise in eye pressure can be expected. ...Read more

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What are the steps involved in performing laser trabeculoplasty?

What are the steps involved in performing laser trabeculoplasty?

Office procedure: Determining if a good candidate. Administering topical anesthesia. Placing a mirror lens on the eye using a coupling agent. Firing laser into the drain of the eye (no pain) while at the slit lamp. Patient holds still while looking straight ahead. Washing out the eye and rechecking the pressure afterward completion. ...Read more

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Is an slt laser trabeculoplasty effective?

Is an slt laser trabeculoplasty effective?

Yes: It can work for some patients (not all). Other treatmnets for glaucoma include medication eye drops and eye surgery (trabeculectomy, tube shunt, stents, etc.). ...Read more

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What to do if I have an slt laser trabeculoplasty?

What to do if I have an slt laser trabeculoplasty?

Usually Nothing: There is no preoperative care involved with SLT. I personally don't prescribe any postoperative medication after the surgery although some doctors prescribe a short course of steroidal or nonsteroidal anti inflammatory drops. I have my patients return 6 weeks after the procedure to measure the eye pressure and determine if there has been adequate pressure lowering from the procedure. ...Read more

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Selective laser trabeculoplasty for glaucoma == what is it like?

Selective laser trabeculoplasty for glaucoma == what is it like?

Light flashes: Your ophthalmologist or glaucoma specialist uses this device to administered an moderately intense laser beam to the drainage sites of the eye (meshwork) to cause them to transmit fluid better and lower the internal eye pressure. It is usually painless, rapid and the response follows quickly. ...Read more

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What kind of doctor can perform a trabeculoplasty?

What kind of doctor can perform a trabeculoplasty?

Ophthalmologist: Most ophthalmologists are trained to perform this procedure which relieves the internal eye pressure in glaucoma. Optometrists cannot do this and if you have glaucoma, you should be seeing an ophthalmologist anyway. General surgeons and physicians refer almost all eye conditions to ophthalmologists. ...Read more

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What are brimondine (alphagan) drops used for during a laser trabeculoplasty procedure?

Pressure: They are generally used to lower the pressure in the eye or to help avoid pressure spikes following the laser procedure. ...Read more

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Selective laser trabeculoplasty glaucoma treatment! What is this like?

Benign: This is performed under topical (drops) anesthesia - no needles, no hospital admission, no advance preparation. A special lens is placed on the numbed eye, and the instrument is focused on the internal fluid drainage system and you may notice a series of light flashes. Afterwards there is no pain or ill effects. Your ophthalmologist will want to see you the next day when the effect starts. ...Read more

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My mother has been offered the option of laser trabeculoplasty and surgery, but she wants to know if that would eliminate the need to use medication (drops)? Whether the condition would ever deteriorate again? If untreated would she go blind.

My mother has been offered the option of laser trabeculoplasty and surgery, but she wants to know if that would eliminate the need to use medication (drops)? Whether the condition would ever deteriorate again? If untreated would she go blind.

See Moms eyedoc: Laser trabeculoplasty is similar to taking an extra eyedrop for pressure and lasts for a year or two. It doesn't always work, but there is little downside. May replace drops if Mom is only taking one. Surgery is divided into MIGS, trabeculectomy and valves. Here the discussion becomes more complicated. The worse your uncontrolled glaucoma the higher the risk that is justified in doing surgery. ...Read more

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Why are brimondine (alphagan) drops put in the eye before and after argon laser trabeculoplasty procedure?

Why are brimondine (alphagan) drops put in the eye before and after argon laser trabeculoplasty procedure?

Prevention: Lasers, including alt and yag capsulotomies, can cause inflammation which can raise the eye pressure. Alphagan (brimonidine) is given to prevent that from happening. ...Read more

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How effective is argon laser trabeculoplasty as a glaucoma treatment? I have primary open-angle glaucoma and my doctor has recommended argon laser trabeculoplasty surgery. Is this an effective glaucoma treatment? Are there any serious risks or side effect

Laser: Laser trabeculoplasty is effective at reducing the eye pressure in about 85% of patients. The remaining 15% do not get a pressure reduction, but these patients are no worse off. Complications are very rare with laser trabeculoplasty. ...Read more

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