Journal article
Evidence-Based Consensus Guidelines Series for MicroPulse Transscleral Laser Therapy: Dosimetry and Patient Selection
Clinical ophthalmology (Auckland, N.Z.), Vol.16, pp.1837-1846
01/01/2022
DOI: 10.2147/OPTH.S365647
PMCID: PMC9188391
PMID: 35698599
Abstract
Purpose: To provide consensus-based current guidelines on optimal dosimetry and patient selection for MicroPulse Transscleral Laser Therapy (TLT) based on a review of the literature and a Delphi method.
Methods: A comprehensive search of Pub Med led to the identification and analysis of 61 studies on MicroPulse TLT that contained information on laser settings and patient selection. To determine consensus in areas where there was not enough available literature, a three-round Delphi method was conducted.
Results: The response rate was 90% in the first round, 90% in the second round, and 80% in the third round of the Delphi technique. Once all responses were aggregated, a live meeting was held with 80% attendance, and consensus was achieved on each of the findings detailed in this manuscript.
Conclusion: Micropulse TLT is a useful addition to the glaucoma armamentarium. When used with proper surgical technique at energy settings within the boundaries described in this manuscript, MicroPulse TLT is a safe and effective treatment for many types and stages of glaucoma. Based on current knowledge and experience, the consensus recommendation of this expert panel is that the standard MicroPulse TLT settings using the revised MicroPulse P3 Probe should be 2500 mW, 31.3% duty cycle, and 4 sweeps at a sweep velocity of 20 seconds each per hemisphere. Both hemispheres avoiding the 3 and 9 clock hours should be treated. The panel also reached consensus on patient selection for MicroPulse TLT providing guidance for the use of the procedure.
Details
- Title: Subtitle
- Evidence-Based Consensus Guidelines Series for MicroPulse Transscleral Laser Therapy: Dosimetry and Patient Selection
- Creators
- Tomas M. Grippo - Hospital AlemánRonald M. P. C. de Crom - Maastricht UniversityMichael Giovingo - Cook County Health and Hospitals SystemMarc Toteberg-Harms - Augusta UniversityBrian A. Francis - Doheny Eye InstituteBrian Jerkins - University of Tennessee Health Science CenterJacob W. Brubaker - Minnesota Eye ConsultantsNathan Radcliffe - New York Eye and Ear InfirmaryJella An - National Eye InstituteRobert Noecker - Yale University
- Resource Type
- Journal article
- Publication Details
- Clinical ophthalmology (Auckland, N.Z.), Vol.16, pp.1837-1846
- Publisher
- Dove Medical Press Ltd
- DOI
- 10.2147/OPTH.S365647
- PMID
- 35698599
- PMCID
- PMC9188391
- ISSN
- 1177-5483
- eISSN
- 1177-5483
- Number of pages
- 10
- Grant note
- Iridex Corporation
- Language
- English
- Date published
- 01/01/2022
- Academic Unit
- Ophthalmology and Visual Sciences
- Record Identifier
- 9984696582702771
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