Evidence-Based Consensus Guidelines Series for MicroPulse Transscleral Laser Therapy - Surgical Technique, Post-Operative Care, Expected Outcomes and Retreatment/Enhancements

Tomas M. Grippo, Marc Töteberg-Harms, Michael Giovingo, Brian A. Francis, Ronald R.M.P.C. de Crom, Brian Jerkins, Jacob W. Brubaker, Jella An, Nathan Radcliffe, Robert Noecker

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: To provide expert consensus and evidence-based current guidelines on treatment technique, postoperative care, expected outcomes and retreatment for MicroPulse Transscleral Laser Treatment (TLT). Methods: A comprehensive search of PubMed led to the identification and analysis of 61 studies on MicroPulse TLT. To provide guidance in areas where there was not enough available literature, a three-round Delphi method was conducted involving 10 international experts in MicroPulse TLT. Results: The response rate was 70% in the first round, 70% in the second round, and 80% in the third round of the Delphi method. Once all responses were aggregated, a live meeting was held with 90% attendance, and consensus was achieved on each of the findings detailed in this manuscript. Conclusion: Used within appropriate treatment parameters, with proper technique and patient selection, MicroPulse TLT is a safe and effective treatment for many types and severities of glaucoma. MicroPulse TLT represents a useful addition to the glaucoma armamentarium.

Original languageEnglish (US)
Pages (from-to)71-83
Number of pages13
JournalClinical Ophthalmology
Volume17
DOIs
StatePublished - 2023
Externally publishedYes

Keywords

  • MicroPulse
  • glaucoma
  • transscleral laser treatment

ASJC Scopus subject areas

  • Ophthalmology

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