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COVER STORY: LASERS ALT, MLT, SLT - IRIDEX

MARCH 2009 IGLAUCOMA TODAYI 43 laser trabeculoplasty has played a significant role inthe treatment of open-angle glaucoma for thepast several decades. The procedure was originallyperformed with the argon laser , but several otherwavelengths have now been used and shown to be effec-tive for this application. Recently, different technologieshave been developed in an attempt to maintain laser tra-beculoplasty s efficacy while minimizing its side article compares argon laser trabeculoplasty (ALT),selective laser trabeculoplasty (SLT), and multipulse lasertrabeculoplasty (MLT). WAVELENGTHTo determine the relative impact of any new laser tech-nology on biologic tissue, it is worthwhile to review thelaser/tissue interactions that occur. With laser trabeculo-plasty of all types, the chromophore or target is melanin,which absorbs visible light very well especially the greenlight with a wavelength of 532 nm used in SLT.

not seem necessary to generating the common pathway response of cytokine release and monocytic activation and recruitment. The clinically observable IOP-lowering

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