Laser Trabeculoplasty [ALT, SLT, MLT] for Glaucoma 

Dr. David Richardson, one of the country's leading ophthalmologists, discusses Laser Trabeculoplasty. Part 2 of 12 of "What's New In Glaucoma Surgery", a Continuing Education course for Optometrists presented on May 20, 2015.
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About Dr. Richardson:
David Richardson, M.D. is widely recognized as one of the top #cataract and #glaucoma surgeons in the US and is among an elite group of glaucoma surgeons in the country performing the highly specialized canaloplasty procedure. Many patients have traveled from around the world to have #canaloplasty by Dr. Richardson. Moreover, Dr. Richardson is one of only a few surgeons in the greater Los Angeles area that performs Micropulse® Cyclophotocoagulation (MP3) glaucoma laser surgery. Dr. Richardson graduated Magna Cum Laude from University of Southern #California and earned his Medical Degree from Harvard Medical School. He completed his ophthalmology residency at the LAC+USC Medical Center/ Doheny Institute.
To learn more about Dr. David Richardson, please visit david-richardso....
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We Listen. You'll See!℠
David D. Richardson, M.D.
Patient-Focused Ophthalmologist
San Marino Eye
2020 Huntington Drive
San Marino, CA 91108
Phone: (626) 289-7856
Email: david@new-glaucoma-treatments.com
Patient-Focused Websites:
New-Glaucoma-Treatments.com
About-Eyes.com
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TRANSCRIPTION:
In terms of the non-invasive, enhancing procedures, laser Trabeculoplasty. Now argon laser Trabeculoplasty has been around for a few decades. Lasers have been available clinically for use in 1970s and argon Trabeculoplasty really is has kind of a neat history it's one of those of many medical advances that were really kind of stumbled upon, okay. So when lasers first came out everybody thought they were really cool because they made holes. Alright? Made a hole on anything you want to make a hole at. And they made holes, when you bounced it off the mirror in the trabecular meshwork. Geez! Isn't this obvious? Make a bunch of little holes in the trabecular meshwork. Get flow into the canal out the collector channel system- we're good to go. So they tried that monkeys and sure enough they made holes but then what happens in the eye, as well as anywhere else when you make a you know hole or incision where it shouldn't be, scarred-down, closed up. So the holes aren't working but you know what if we laser these monkeys' trabecular meshwork not quite enough to make a hole just enough to coagulate it- to melt in a bit, it actually results in the pressure going up! So now we've got a monkey model of glaucoma. How great is that - Well now we can induce glaucoma on monkeys and now we can study other treatments on these monkeys. So they took a failure and they created a laboratory success.