Is There a Role for SLT After MIGS? - Takeaways - MDSpire
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Is There a Role for SLT After MIGS?

Is There a Role for SLT After MIGS? A practical framework for patient selection and clinical decision-making when intraocular pressure rises after minimally invasive glaucoma surgery.

  • By

  • Shivani S. Kamat, MD

  • September 1, 2026

  • 13 min

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  • 1

    Minimally invasive glaucoma surgery (MIGS) is preferred for patients with mild to moderate primary open-angle glaucoma (POAG) during cataract extraction.

  • 2

    Intraocular pressure (IOP) can rise after MIGS due to various factors, necessitating further treatment options like selective laser trabeculoplasty (SLT).

  • 3

    SLT has been shown to lower IOP effectively and has a favorable safety profile, making it a potential option when MIGS efficacy decreases.

  • 4

    The effectiveness of SLT after MIGS depends on the preservation of trabecular meshwork (TM) tissue, which varies by MIGS procedure type.

  • 5

    Retrospective studies indicate that SLT can provide meaningful IOP reduction after MIGS, particularly in cases with preserved TM tissue.

Original Source(s)

Is There a Role for SLT After MIGS?

  • by Shivani S. Kamat, MD

  • September 1, 2026

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