SLT with Pigment Dispersion Syndrome..Dr Hagan

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I have been taking Latanaprost and then Monopost for the last five years for mildly elevated eye pressure due to Pigment Dispersion syndrome..I had visual field test and OCT recently all good in normal range .

..I went to an Opthalmologist for a consultation to get the SLT done but he refused to carry out the procedure because of the fear of IOP spike and told it would be risky because of my Pigment Dispersion Syndrome but I believe my PDS is table now as I had it for a few years...I felt the doctor is not that experienced and I searched the matter with Dr.Google and found out that it can be done in my case with low laser power selected with good results...Any Suggestions Dr. Hagan?

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Thank you very much for your valuable answer ...I will do nothing then and keep taking the Monopost...You mentioned that some of your patients had SLT with good results..Any of them had PDS ?

[John C Hagan III, MD, FACS, FAAO]

Yes, we are talking about a relatively low number perhaps 8-10. Some did have spike of IOP but it was managed with drops. The more pigment in the angle the better SLT works. All eventually go a dop of IOP on the order of 6-8 points

[pop888]

Thank you doctor very valuable information about the Pigment in the angle ..God bless you

[John C Hagan III, MD, FACS, FAAO]

Thanks and best of luck