Laser therapy

The aim of laser procedures used in the treatment of glaucoma is to facilitate the outflow of aqueous humor from the eye, which in turn helps to reduce intraocular pressure. Retinal laser treatment, or laser photocoagulation, is a procedure performed to treat various retinal conditions.

Retinal laser treatment (coagulation)

The main indications for retinal laser treatment are diabetic changes, post-thrombotic vascular conditions, retinal holes and tears, and peripheral degenerations.

Laser has coagulating properties when applied to tissues. As a result, permanent adhesions form in the retina at the focal point of the laser light, which help secure the retina. Pathological changes, including microaneurysms and ischemic areas of the retina, are destroyed. It also helps reduce retinal swelling.

The procedure begins with the application of anesthetic and pupil-dilating drops. Next, a contact lens is placed on the eye, and the laser treatment is performed. The entire procedure takes only a few minutes.

Laser glaucoma treatment (SLT)

This procedure is used for patients with open-angle glaucoma who have a poor response to pharmacological treatment or poorly tolerate glaucoma eye drops. SLT (selective laser trabeculoplasty) is a tissue-friendly procedure that causes less damage to the tissues.
The treatment helps facilitate the outflow of aqueous humor from the eye, which in turn lowers intraocular pressure.

Laser peripheral iridotomy

This procedure is aimed at patients suffering from glaucoma with a narrow, angle-closure filtration angle. It is performed when there is a risk of complete closure of the filtration angle, which can lead to an acute glaucoma attack accompanied by very high intraocular pressure.
The procedure involves creating a pathway for fluid to flow from the posterior chamber of the eye to the anterior chamber, bypassing the pupil. Using a laser beam, a small hole is made at the periphery of the iris, resulting in the widening of the filtration angle.

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