Summary of Article: Optometrists Performing Glaucoma Laser Surgery
This article discusses a recent study showing that optometrists can safely and effectively perform Selective Laser Trabeculoplasty (SLT) for glaucoma. Here’s a breakdown of the key points:
Growing Need: With increasing numbers of patients diagnosed with ocular hypertension and primary open-angle glaucoma, and a shortage of eye care professionals, optometrists are increasingly taking on the role of performing SLT, particularly in the UK.
Study Findings: A retrospective study analyzing data from 869 eyes treated by three optometrists found:
low Adverse Event Rate: Only 2.2% of treated eyes experienced adverse events (like uveitis, IOP spikes, etc.).
high success rates: 70.9% success rate for first-line SLT treatment and 65.3% for escalation treatment (using different criteria for success).
Median Age: Patients had a median age of 72 years.
SLT as Treatment: SLT was used either as a first-line treatment or to escalate treatment for existing glaucoma patients.
* Success Defined: Success was measured by IOP reduction (20% for early cases, 30% for moderate/severe) or reduction in glaucoma medication.
In essence, the study provides evidence supporting the expanding role of optometrists in glaucoma management through SLT, offering a safe and effective treatment option.
