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HOME > Physician Education > Glaucoma > Trabeculoplasty (MLT)

Physician Education

Learn How To Perform MicroPulse™ Laser Trabeculoplasty (MLT)

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532 Laser

Trabeculoplasty with the IQ 532™ laser with MicroPulse™ technology offers a  more precise way to target the trabecular meshwork than ALT & SLT. 

PRODUCT HIGHLIGHTS

  • Repeatable comprehensive therapeutic capabilities: glaucoma and retina
  • Success with refractory and sub-clinical edema
  • Operating Room efficient with dual port and wireless footswitch

 

MLT

SLT

ALT

Wavelength 532 nm, 577 nm, 810 nm 532 nm 488/514 nm, 532 nm
Mechanism Thermally afects - not destroys - pigmented TM cells Selective destruction of pigmented TM cells without thermal or collateral damage Shrinkage of TM with adjacent stretching
Repeatable Yes Yes No
Treatment Endpoint No visible tissue reaction Small bubbles Blanching (mild) to bubbles (intense)
Post op Inflammation None Yes Yes
Spot Size 300 um
Smaller spot to access narrow angles
400 um 50 um


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Subthreshold laser therapy yields good outcomes

Dr. Gossage shares his experiences using MicroPulse laser therapy to treat retinal and glaucoma disorders.

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ALT, MLT, SLT

This article compares argon laser trabeculoplasty (ALT), selective laser trabeculoplasty (SLT), and MicroPulse™ laser trabeculoplasty (MLT).

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Raising the Bar on Repeatable Glaucoma Therapy: 532 MicroPulse™ Laser Trabeculoplasty


Steven D. Vold, MD

MicroPulse Laser: Anterior to Posterior Segment

532 nm MicroPulse Laser Trabeculoplasty (MLT)


David M. Dickman, MD

“I'm comfortable offering MicroPulse laser trabeculoplasty (MLT) to glaucoma patients as a first-line option because of its potential to reduce intraocular pressure without causing tissue damage. Compared to other lasers used for the treatment of glaucoma, the IQ 532 with the MicroPulse module offers greater versatility because it can also be used for a range of other conditions including diabetic macular edema, proliferative diabetic retinopathy, and retinal tears.”

David Gossage DO, FAOCO, FAAO
Medical Director Gossage Eye Institute, Hillsdale, MI

Clinical Assistant Professor of Ophthalmology
Dept of Specialty Medicine, Ohio University Heritage
College of Osteopathic Medicine, Athens, OH

Clinical Associate Professor of Ophthalmology
Michigan State University, East Lansing, MI

*Samples J, et al. Laser Trabeculoplasty for Open-Angle Glaucoma: A Report by the American Academy of Ophthalmology. Ophthalmology 2011;118:2296–2302
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