CZM-PMR / R.

Schtt -1-
Glaucoma Treatments
Trabeculoplasty
Treatment of open angle glaucoma




An opening is created with the disruption or coagulation
laser in the trabecular meshwork if the outflow of aqueous
into Schlemm's canal is blocked

CZM-PMR / R. Schtt -2-
Glaucoma Treatments
Trabeculoplasty
1 Laser Beam
2 Contact Lens
3 Trabecular Meshwork
4 Schlemms Canal
CZM-PMR / R. Schtt -3-
Glaucoma Treatments
Argon Laser Trabeculoplasty - Selective Laser Trabeculoplasty

ALT SLT
Spotsize

50 m 400m

Technique 180 or 360
50 (100) single spots
180
Nearly overlapping spots
Power / Energy 500-1500 mW 0,3 2,0 mJ
Duration 100 ms 3 ns
Contact Lens Ritch Trabeculoplasty Latina Lens
Method Thermal breakthrough Selective Destruction of
Pigment
CZM-PMR / R. Schtt -4-
Glaucoma treatments
ALT -SLT
SLT is NOT better in
IOP reduction than ALT
CZM-PMR / R. Schtt -6-
Competition
VISULAS 532s Combi - Selecta Duet
CZM-PMR / R. Schtt -8-
Competition
VISULAS 532s Combi - Selecta Duet
VISULAS 532s Combi Selecta Duet Benefit
disease cluster glaucoma, cataract, retina glaucoma, cataract - wider array of patients in
the same setting
- space saving solution
Application ALT, Iridotomy (also combined),
Capsulotomy, Coagulation
SLT, Capsulotomy - wider array of patients in
the same setting
- gentle iridotomy with
combination of coagulation
and disruption
List price EUR 62,620.- approx. US$ 90,000.- - 4 treatments in one
device
("bargain: 4 for 1")
- meets the economical
needs
CZM-PMR / R. Schtt -9-
Glaucoma Treatments
Iridotomy
Treatment of angle closure glaucoma
reduce the intraocular pressure (IOP)

CZM-PMR / R. Schtt -10-
Glaucoma Treatments
Iridotomy
a hole is created in the iris with the disruption or
coagulation laser

CZM-PMR / R. Schtt -11-
Glaucoma Treatments
Iridotomy
CZM-PMR / R. Schtt -12-
Glaucoma Treatments
Iridotomy
Use a combination of both (532s Combi)
to combine advantage of both treatments
VISULAS 532s VISULAS YAG II+
Spot Size 50 m 10 m
Power / Energy 1000-1500 mW 2-7 mJ
Duration 20-200 ms < 4 ns
Contact Lens Abraham Iridotomy Abraham Iridotomy
Side Effects Success depends on
pigmentation
bleeding