An introduction to Selective laser trabeculoplasty

Written in association with: Mr Thomas Kersey
Published:
Edited by: Kate Forristal

In his latest online article highly regarded ophthalmologist Mr Thomas Kersey gives us his insights into Selective Laser Trabeculoplasty. He explains the advancements in laser technology, the increased success rates of the procedure and the ongoing efforts being made to evaluate the long term-efficacy and safety of SLT studies.

What is Selective Laser Trabeculoplasty?

Selective laser trabeculoplasty (SLT) is a widely used and powerful method to treat glaucoma, which is a condition that can affect eyesight. In 2023, there have been some significant improvements in the field of SLT, increasing its efficiency and patient results.

 

 

Advancements in technology

Firstly, improved laser technology has increased the precision and targeting of SLT procedures. High-definition imaging systems, such as optical coherence tomography (OCT), now enable eye specialists to view the trabecular meshwork—the part of the eye that SLT targets—with more detail and accuracy. This ensures more accurate laser delivery and better treatment outcomes.

 

Also, research efforts have aimed at enhancing the treatment factors of SLT. Studies have explored the optimal laser energy level, pulse time, and spot size to increase the treatment effect and decrease negative effects. These advancements have led to higher success rates and fewer complications from SLT.

 

Another important update in SLT is, its use with other glaucoma treatments. Clinical trials looking at the combined effects of SLT and medication, such as prostaglandin analogues or beta blockers, have shown good results. The mix of treatments has shown better eye pressure control and it may lower the need for long-term medication use.

 

 

Ongoing Efforts

Ongoing efforts are being carried out to test the long-term efficiency and safety of SLT. Studies monitoring patients for long periods are essential in evaluating the persistence of treatment effects and learning possible late-onset complications. These findings will assist in enhancing SLT protocols and optimizing patient management strategies.

 

Researchers are working to assess the lasting effectiveness and security of SLT. Long-term follow-up of patients is crucial to measure the durability of treatment outcomes and identify potential delayed complications. These results will help to improve SLT procedures and refine patient care approaches.

 

Mr Thomas Kersey is a highly esteemed Ophthalmologist with over 20 years of experience in his field. If you would like to book an appointment with Mr Kersey you can on his Top Doctors profile today.

By Mr Thomas Kersey
Ophthalmology

Mr Thomas Kersey is a highly experienced ophthalmologist, with over 20 year's experience, who sees patients in Farnham, Frimley, Esher, Slough and Ascot. His areas of expertise include glaucoma and glaucoma surgery, as well as oculoplastics, cataract surgery and selective laser trabeculoplasty (SLT).

As well as the aforementioned areas, Mr Kersey offers a wide range of treatments and services, including laser surgery treatments, eyelid procedures, cataract surgery and multifocal and toric intraocular lenses. To date he has completed over 3,000 cataract operations and over 2,500 eyelid surgeries, including cosmetic treatments.

Mr Kersey was awarded an MBBS from the University of London in 2001 and pursued his medical school training at St Bartholomews and the Royal London Hospital. After training in the Oxford region, Mr Kersey completed his higher specialist surgical training on the southwest rotation, where he gained his fellowship to the Royal College of Ophthalmologists. Mr Kersey is fellowship trained in oculoplastic and glaucoma surgery. 

Mr Kersey pursued his first fellowship in oculoplastics and orbital surgery in Auckland, New Zealand. He also underwent a fellowship in glaucoma with Professor Phillip Bloom at the Western and Hillingdon Hospitals in London.

He is the lead glaucoma surgeon at Frimley Park Hospital and also held the role of regional lead for surgical simulation across the Kent, Surrey and Sussex deanery.

Mr Kersey is devoted to research and has had 20 of his scientific published papers published in peer-reviewed journals. He has been invited to speak and given presentations at many national and international meetings.

Furthermore, he is passionate about teaching and has trained several eye surgeons across the span of his career. He also regularly runs regional and national surgical workshops in oculoplastics, glaucoma and cataract surgery    

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