Insight Eye Surgery uses the latest eye laser technology to help your eyes be their best
Lasers are used for a number of purposes, for both eye function and vision improvement:
Selective Laser Trabeculoplasty (SLT)
A simple, yet highly effective, laser-based procedure that reduces eye pressure in the treatment of glaucoma
Laser Peripheral Iridotomy (LPI)
A laser procedure used to treat or prevent angle-closure glaucoma in people with narrow angles
Laser Capsulotomy (YAG)
A quick and painless procedure to treat cloudy vision after cataract surgery
Selective Laser Trabeculoplasty
Selective laser trabeculoplasty (SLT) is a treatment used for patients who have primary or secondary open-angle glaucoma and need to lower their eye pressure. SLT is a simple, yet highly effective light-based procedure that is performed in the clinic and typically takes a few minutes.
SLT reduces intra-ocular pressure by stimulating the trabecular meshwork in the drainage angles of your eyes. This stimulation rejuvenates the tissue and improves its function. SLT is a gentle yet effective treatment, using short pulses of low-energy laser light. The aim of SLT treatment is to lower the intraocular eye pressure and prevent further visual loss – it does not improve vision.
SLT lowers intraocular eye pressure by an average of 25% in 74-85% of patients tested, and the treatment effect usually lasts for a period of 3-4 years. SLT can be repeated to achieve similar results however alternative treatment options are available for patients who do not respond to SLT.
Prior to the procedure, local anaesthetic drops will be applied. The procedure lasts for a few minutes and is performed in-clinic. You should be able to drive after treatment.
During the procedure, a special lens will be placed on your eye to visualise the trabecular meshwork and precisely focus the laser. During the procedure patients commonly report seeing a bright light and experiencing a mild tingling sensation. The laser treatment does not structurally damage or “burn holes” in the eye; rather it works by rejuvenating the tissue, this allows more fluid to pass out of the eye via natural pathways.
SLT is a safe procedure and complications are rare; loss of vision or significant inflammation after SLT is very rare. The main risks of the laser procedure are:
The pressure may rise after the treatment, sometimes requiring additional treatment. Drops are usually given prior to the treatment to reduce the risk of this occurring.
A second procedure or another type of surgery may be required.
You may experience transient red, uncomfortable eyes or blurred vision that may last a few days.
SLT Benefits
- Lowers eye pressure
- Non invasive and painless
- Rapid recovery
- Reduces reliance on eye drops
- Helps avoid eye surgery
Click here for further reading.
Laser peripheral iridotomy
Laser peripheral iridotomy (LPI) is a treatment used for patients who have or are at risk of developing acute angle closure or who have chronic angle closure glaucoma. Laser peripheral iridotomy will reduce the risk of future acute attacks of acute glaucoma and may reduce the risk of progression to chronic angle closure glaucoma.
In acute angle closure the fluid in the eye (aqueous humour) is unable to pass into the anterior chamber and drain from the eye. This is because the iris is pushed forward onto the drainage system, restricting the outflow of aqueous humour so the pressure in the eye rises. LPI delivers a concentrated beam of energy to make a small hole in the iris (the coloured part of the eye) . Aqueous humour can then flow into the anterior chamber and drain from the eye.
Before the procedure, Pilocarpine will be administered to the eye that will be undergoing treatment, this will constrict the pupil. Topical anaesthetic drops will also be administered along with Pilocarpine.
After anaesthetic drops are properly instilled into your eyes, a special lens will be placed on the eye, after which, the laser treatment will begin.
Some patients report feeling a mild, sharp sensation during the laser treatment while nearly all patients report no pain after the treatment has been completed. This procedure takes a few minutes.
After the laser you will have drops to reduce inflammation in the eye.
The main risk of LPI is that your iris may be difficult to penetrate, requiring more than one treatment session. Rarely, the laser spot in your iris may close requiring another procedure to open it again. Other risks include eye irritation and inflammation.
Intraocular pressure can rise after the LPI, however eyedrops which lower intraocular pressure are given to prevent this rise. Rarely, side effects such as glare and monocular blurring/diplopia can occur.
You may feel mild eye discomfort, headache or blurred vision that resolves within hours/days. On the day of the procedure you should not undertake strenuous exercise. You should avoid lying face down for 2 days.
LPI Benefits
- Quick and non invasive
- Reduces the risk of glaucoma
- Helps avoid eye surgery
Click here for further reading.
Laser Capsulotomy
This a common procedure performed after Cataract Surgery. Following cataract surgery, the back membrane of the lens becomes cloudy and causes blurred vision. Sometimes patients will see streaks or haloes around lights. This is called Posterior Capsular Opacification or PCO. It does not mean that the cataract has grown back, just that microscopic lens cells have proliferated and created a cloudy membrane.
Sometimes it happens within months of your surgery, sometimes it can take years. It depends on your eye and other factors such as lens implant type.
Posterior capsulotomy (sometimes called YAG laser capsulotomy) is an effective, safe, and simple laser procedure to improve your eyesight after cataract surgery. It is performed in our clinic, and typically takes no more than a few minutes.
Laser capsulotomy is a painless and quick treatment which permanently fixes posterior capsular opacification. Gentle pulses of light are delivered through a specially-designed microscope. The laser removes the area of capsular clouding, creating a clear window in the capsular bag through which you can see.
Prior to the procedure, local anaesthetic drops will be applied to numb the eye and drops will be applied to dilate the pupil. The procedure lasts for approximately 10 minutes and is performed in-clinic.
A special lens will be placed on the eye to precisely focus the laser.
You will need to use anti-inflammatory drops for five days after the laser to help the eye heal correctly.
There is no interruption in physical activities (e.g. exercise) and no patch after the laser treatment is needed. Your pupil will be dilated so we recommend you do not drive for 1-2 hours following the procedure. You may prefer not to work for a few hours if your job has visual demands, until the dilated pupil returns to a normal size.
Your vision should improve later that day when the pupil reduces in size.
It is a safe procedure, but complications can occur, although uncommonly. Some new floaters or spots may be seen but these usually disappear within a few weeks. Retinal swelling or detachment can follow this type of surgery, but this is rare. Occasionally more than one treatment may be required, although this is uncommon. The intra-ocular lens can become displaced - this is very rare. There may be inflammation and the eye pressure may rise temporarily after the YAG laser treatment - drops are used to reduce these risks.
Laser Capsulatomy Benefits
- Quick and non invasive
- In clinic treatment
- Improves eyesight
- Usually does not need to be repeated
Important things to remember
After any of these procedures you may resume normal activities, but we recommend someone drives you home (particularly for Laser Capsulotomy as your eyes may still be dilated).
Your vision may be slightly blurred for a day or so. It is common to have a gritty sensation in the eye for 2–3 days which should resolve.
SLT may take 12 weeks for the full effect of the treatment to occur.
Things to look out for:
If your eye becomes progressively more red and painful, or if your vision gets worse after laser treatment then contact Insight Eye Surgery on 07 3154 1515 (Brisbane) or 07 5345 5011 (Noosa) in business hours or attend your local hospital emergency department after hours.
Make an Appointment
It is necessary to first undergo an eye examination to determine if you are suitable for any of these laser treatments.
To make a booking for a consultation or procedure, contact us here >>. Please have on hand your:
- Medicare card number
- Health fund details (if applicable)
- DVA/Pension/health care card details (if applicable)
- Current referral letter
Further reading
There's lots of information available out there about our laser treatments. We've made it easier for you by collating it into our own info sheets for download.
Download the info sheet: Selective Laser Trabeculoplasty (SLT) (PDF 655kb)
Download the info sheet: Laser Peripheral Iridotomy (LPI) (PDF 655kb)
Download the info sheet: Laser (YAG) Capsulotomy (YAG) (PDF 655kb)