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Optometric Management

Article | 2026 AOA

Best Practices for In-Office SLT

Careful patient selection is essential, regardless of the procedure, Nicholas R. Green, OD, MPH, FAAO, said in his session at Optometry’s Meeting 2026.

By: Sarah Fackler, managing editor, Optometric Management
Optometric Management June 18, 2026
3 Topic Commentaries

Best Practices for In-Office SLT

  • Harry A. Quigley, MD

    Ophthalmology (Glaucoma)

    •

    Wilmer Eye Institute, Johns Hopkins University School of Medicine

    SLT should be offered as a first-line treatment for OAG and ocular hypertension.

    Source
  • Young H. Kwon, MD, PhD

    Ophthalmology (Glaucoma)

    •

    Department of Ophthalmology & Visual Sciences, University of Iowa

    Either 180º or 360º of the angle is treated.

    Source
  • Wallace L.M. Alward, MD

    Ophthalmology (Glaucoma)

    •

    Department of Ophthalmology and Visual Sciences, University of Iowa

    Argon laser trabeculoplasty (ALT) is anecdotally preferred by some over selective trabeculoplasty (SLT) in patients with a heavily-pigmented trabecular meshwork

    Source