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

• Published in: Clinical ophthalmology (Auckland, N.Z.) N.Z.), 2023-01, Vol.17, p.71-83
• Main Authors: Grippo, Tomas M, Töteberg-Harms, Marc, Giovingo, Michael, Francis, Brian A, de Crom, Ronald R M P C, Jerkins, Brian, Brubaker, Jacob W, An, Jella, Radcliffe, Nathan, Noecker, Robert
• Format: Article
• Language: English
• Subjects: Analysis; Care and treatment; Dosimetry; Energy; Evidence-based medicine; General anesthesia; Glaucoma; Lasers; Lasers in surgery; Medical equipment and supplies industry; Medical test kit industry; Methods; micropulse; Original Research; Pain; Patients; Practice guidelines (Medicine); Questionnaires; transscleral laser treatment
• ISSN: 1177-5467; 1177-5483; 1177-5483
• DOI: 10.2147/OPTH.S389198

To provide expert consensus and evidence-based current guidelines on treatment technique, postoperative care, expected outcomes and retreatment for MicroPulse Transscleral Laser Treatment (TLT). 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. 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. 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.