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How has your use of SLT changed given the 6-year results of the LiGHT trial?

Gazzard et al., PMID 36122660
Community PollStarted

How do you typically use SLT in your glaucoma practice?

51 physicians have voted

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3 Answers
Mednet Member
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Ophthalmology · Wills Eye Hospital, Philadelphia
Answered on · Updated on

I offer primary SLT to almost all of my treatment-naive patients with OHTN or POAG, and most patients with mild-moderate disease who have never received SLT. I counsel patients that with primary SLT, they are less likely to show disease progression at 6 years and less likely to require incisional gl...

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Mednet Member
Mednet Member
Ophthalmology · NYEEI Mt Sinai
Answered on

I agree with Dr. @Dr. First Last. I also offer SLT to all my OAG/OHTN patients as a treatment option. The LiGHT Trial reaffirmed the clinical benefits of sustained 24/7 IOP management. I will combine SLT treatment with Durysta when necessary to add to my “dropless” management of glaucoma. Most glauc...

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Mednet Member
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Ophthalmology · Johns Hopkins University School of Medicine
Answered on

I agree with Dr. @Dr. First Last and Dr. @Dr. First Last. I offer all new open-angle glaucoma patients SLT as an alternative to drops, and I bring up the LiGHT trial each time. An important finding in the 6-year paper is that 45% patients who were drop-free at 6 years required more than one SLT trea...

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