Objective:

To discuss the advantages and best practices for performing selective laser trabeculoplasty (SLT) in optometric practices, as presented by Nicholas R. Green, OD, MPH, FAAO, at Optometry’s Meeting 2026.

Approach:

Key Findings:

• SLT lowers IOP by approximately 20% to 30% in open-angle glaucoma patients.
• Careful patient selection is crucial for successful outcomes.
• Emerging laser technologies show similar efficacy to traditional SLT.

Interpretation:

The presentation underscores the importance of staying updated on best practices and new technologies in laser procedures for optometrists.

Limitations:

• There is no consensus on specific postoperative medications or regimens.
• Emerging technologies require further validation through research.

Conclusion:

Optometrists should be knowledgeable about laser procedures to effectively address patient needs.

Sources:

• Gazzard et al. (2023)
• Davies & Butler (2026)
• Liu et al. (2025)
• Rojananuangnit et al. (2025)
• Priya et al. (2026)
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