In certain circumstances, our physicians may utilize laser procedures for the management of glaucoma. The type of laser depends upon the severity of the condition. This type of procedure is performed in an outpatient setting, and, because the eye is numbed, there will be little or no pain during treatment. Laser procedures are usually scheduled on a different day than your initial examination.
We perform the following types of laser procedures:
Argon Laser Trabeculoplasty (ALT)
For the treatment of primary open-angle glaucoma (POAG). The laser facilitates the opening of fluid channels of the eye and allows the drainage system to work better. There might be a slight stinging sensation during the procedure. Argon laser trabeculoplasty has successfully lowered eye pressure in up to 75% of patients treated.
Selective Laser Trabeculoplasty (SLT)
Also utilized for the treatment of primary open-angle glaucoma (POAG). This laser utilizes low energy levels and is therefore more gentle to the eye. Because it “selectively” treats specific cells, SLT may be safely repeated. This procedure might be an alternative for those who have been treated unsuccessfully with ALT or pressure-lowering drops.
Narrow angle glaucoma is typically treated with laser rather than medication or traditional surgery. YAG Iridectomy is a proven effective treatment for this type of glaucoma. This procedure creates a tiny hole in the iris, releasing the fluid buildup behind and deepening the narrow angle. Recurrences of narrow angle glaucoma are infrequent after this treatment.
A noninvasive laser procedure to eliminate the cloudiness that interferes with a patient’s vision after cataract surgery. The cloudy lens is normally removed during cataract surgery. However, a thin membrane that held the cataract is left in place to support the implanted artificial lens. The back of the capsule is normally clear immediately after surgery, but becomes cloudy over time. This can be resolved with a quick in-office laser procedure, with rapid improvement in vision.
Diode Trans-scleral Cyclodestructive Procedure (CDP)
May be indicated for refractory glaucoma, or eyes with poor visual acuity or poor visual potential. This method may be an option for patients with advanced glaucoma and poor intraocular pressure (IOP) control and/or who have failed one or more penetrating surgeries. In Cyclodestructive procedures, the secretory epithelium of the ciliary epithelium is damaged, which leads to reduced aqueous humor secretion and lower IOP.
Femtosecond Laser Cataract Surgery
Utilized by our CATALYS Precision Laser System, a Femtosecond laser, instead of a scalpel, is utilized to create surgical incisions with extreme precision. There are several benefits; Femtosecond lasers have been noted to be more precise, with fewer likely collateral tissue effects. This has contributed to more precise, reproducible and safe surgical outcomes. This is the only laser system designed specifically for the treatment of cataracts.