The “drops first, everything else later” era is coming to an end. Dr Mark Chiang (Australia) shares his laser-first approach to glaucoma management: SLT to match first-line drop efficacy without the burden of daily medication, SubCyclo for patients who fail or cannot tolerate earlier treatments, and stents for the right surgical candidates.
The “drops first, everything else later” approach to glaucoma is being challenged. In this video, Prof. Gus Gazzard shares six-year LiGHT data showing that first-line SLT kept most eyes at target intraocular pressure without long-term drops, reduced the need for trabeculectomy, and delivered better visual field preservation compared with a drops-first approach.
Discover our podcast produced for World Glaucoma Week 2025 in which Professor Mario de La Torre presents the diagnostic and therapeutic management of a 65-year-old male patient with Primary Open-Angle Glaucoma and Dry Eye Syndrome. He was treated with Selective Laser Trabeculoplasty (SLT) for long-term IOP control and Intense Pulsed Light (IPL) therapy to restore ocular surface health. This combined approach improved both glaucoma management and patient comfort.
In this interview, Prof. Gus Gazzard explains how SLT can be the first-line therapy for all open angle, glaucoma and ocular hypertension.
In this video, Prof. Gus GAZZARD , explains how to overcome barriers to SLT as first line therapy for POAG & OH. This video is from our symposium held at ESCRS 2023.
In this interview, Inder Paul Singh, MD, explains the interest of using SLT as first line therapy for glaucoma instead of medication and the impact on the ocular surface.
“SLT not only takes away the compliance issues that are so difficult for us but it actually addresses the pathology directly.”
Dr Paul Singh explains what type of patients can benefit from SLT to treat glaucoma.
Dr Franck Howes, Eye & Laser Centre Gold Coast (Australia) made a presentation on SLT (Selective Laser Trabeculoplasty) and detailed the process of applying laser energy for the control of glaucoma.
