Laser Treatments Beyond Refractive Surgery
Laser technology may be used as an alternative to surgery or as part of a broader treatment plan. In ophthalmology, selective laser trabeculoplasty (SLT), retinal photocoagulation and Nd:YAG capsulotomy have different indications and are selected after a detailed examination.
SLT for Glaucoma
SLT targets pigmented cells in the trabecular meshwork with low-energy pulses to improve aqueous outflow and reduce intraocular pressure. It may be considered for open-angle glaucoma or ocular hypertension, may reduce the need for drops and can be repeated in suitable patients.
Argon Laser for Retinal Conditions
Retinal laser photocoagulation can be used for selected retinal tears, diabetic retinopathy, vascular disorders and other defined retinal conditions. The treatment plan depends on the retinal finding and may be combined with intravitreal treatment.
Nd:YAG Capsulotomy After Cataract Surgery
Posterior capsule opacification can cause vision to become cloudy months or years after cataract surgery. Nd:YAG laser creates a small opening in the cloudy capsule so that light can reach the retina clearly again. The procedure is performed without an incision and requires follow-up.
Assessment and Follow-up
Not every laser procedure is suitable for every eye. The diagnosis, eye pressure, cornea, lens and retina must be assessed before treatment. The expected benefit, alternatives and uncommon risks are discussed individually.