Complete patient health history and ocular examination
2
Determine eye pressure baseline
3
Application of topical anesthesia
4
Mark the trabecular meshwork using the SLT lens
5
Position the patient and align the laser
6
Adjust laser settings
7
Begin firing the laser at the trabecular meshwork
8
Monitor patient's reaction and comfort during the procedure
9
Completion of treatment to 180 degrees of the trabecular meshwork
10
Administer anti-inflammatory medication
11
Observation of patients' eye post-procedure
12
Evaluate ocular pressure post-procedure
13
Compare post-procedure ocular pressure with baseline
14
Approval: Ophthalmologist
15
Patient discharge and after-care instructions
16
Schedule follow-up visit
Complete patient health history and ocular examination
Gather the patient's health history and conduct a comprehensive ocular examination. This task is crucial for assessing the patient's suitability for selective laser trabeculoplasty technique. The desired outcome is to have a clear understanding of the patient's medical background and current ocular condition.
Determine eye pressure baseline
Measure the patient's baseline eye pressure. This task provides the starting point for evaluating the effectiveness of the selective laser trabeculoplasty technique in reducing eye pressure. The desired outcome is to establish an accurate baseline measurement.
Application of topical anesthesia
Administer topical anesthesia to numb the patient's eye. This step ensures that the patient remains comfortable during the selective laser trabeculoplasty technique. The desired outcome is effective anesthesia without any adverse reactions.
1
Tetracaine
2
Proparacaine
3
Lidocaine
4
Benzocaine
5
Prilocaine
Mark the trabecular meshwork using the SLT lens
Use the selective laser trabeculoplasty (SLT) lens to accurately mark the trabecular meshwork. This task assists in guiding the laser treatment to the intended target area. The desired outcome is clear and precise marking of the trabecular meshwork.
Position the patient and align the laser
Carefully position the patient and align the laser with the marked trabecular meshwork. This step ensures accurate laser application and minimizes the risk of unintended side effects. The desired outcome is proper alignment and positioning for effective treatment.
1
Sitting
2
Supine
3
Prone
4
Lateral
5
Semilateral
1
Aligned
2
Misaligned
3
Not applicable
Adjust laser settings
Make necessary adjustments to the laser settings based on the patient's eye condition and treatment requirements. This task allows customization of the laser parameters for optimal results. The desired outcome is precise laser settings for effective treatment.
Begin firing the laser at the trabecular meshwork
Initiate the laser firing process, targeting the marked trabecular meshwork. This task delivers the selective laser energy to the target area for trabeculoplasty. The desired outcome is controlled and effective firing of the laser.
1
Continuous wave
2
Pulsed
3
Mixed
Monitor patient's reaction and comfort during the procedure
Continuously monitor the patient's reaction and comfort level throughout the selective laser trabeculoplasty procedure. This step ensures patient safety and well-being during the treatment. The desired outcome is a comfortable and well-tolerated procedure.
1
Comfortable
2
Mild discomfort
3
Moderate discomfort
4
Severe discomfort
5
Unbearable pain
Completion of treatment to 180 degrees of the trabecular meshwork
Perform selective laser trabeculoplasty on the trabecular meshwork up to 180 degrees. This task aims to achieve a comprehensive treatment coverage for optimal results. The desired outcome is completion of the treatment up to the specified extent.
1
0-90 degrees
2
90-180 degrees
3
Full 180 degrees
1
Superior
2
Temporal
3
Nasal
4
Inferior
5
None
Administer anti-inflammatory medication
Administer appropriate anti-inflammatory medication to the patient after completing selective laser trabeculoplasty. This step helps minimize post-procedure inflammation and promotes healing. The desired outcome is effective administration of the medication.
1
Steroid eye drops
2
Nonsteroidal anti-inflammatory eye drops
3
Oral steroids
4
Oral nonsteroidal anti-inflammatory drugs
5
Other
Observation of patients' eye post-procedure
Thoroughly observe the patient's eye after completing the selective laser trabeculoplasty procedure. This step allows for detection of any immediate complications or adverse reactions. The desired outcome is identification of any post-procedure issues requiring attention.
1
No complications observed
2
Redness
3
Swelling
4
Blurred vision
5
Other
Evaluate ocular pressure post-procedure
Measure the patient's eye pressure after completing the selective laser trabeculoplasty procedure. This task helps assess the immediate impact of the treatment on reducing eye pressure. The desired outcome is accurate post-procedure eye pressure measurement.
Compare post-procedure ocular pressure with baseline
Compare the post-procedure eye pressure with the baseline measurement taken earlier. This step allows evaluation of the effectiveness of the selective laser trabeculoplasty technique in reducing eye pressure. The desired outcome is a clear comparison of the two pressure readings.
Approval: Ophthalmologist
Will be submitted for approval:
Complete patient health history and ocular examination
Will be submitted
Determine eye pressure baseline
Will be submitted
Application of topical anesthesia
Will be submitted
Mark the trabecular meshwork using the SLT lens
Will be submitted
Position the patient and align the laser
Will be submitted
Adjust laser settings
Will be submitted
Begin firing the laser at the trabecular meshwork
Will be submitted
Monitor patient's reaction and comfort during the procedure
Will be submitted
Completion of treatment to 180 degrees of the trabecular meshwork
Will be submitted
Administer anti-inflammatory medication
Will be submitted
Observation of patients' eye post-procedure
Will be submitted
Evaluate ocular pressure post-procedure
Will be submitted
Compare post-procedure ocular pressure with baseline
Will be submitted
Patient discharge and after-care instructions
Discharge the patient post-procedure and provide detailed after-care instructions. This step ensures proper recovery and minimizes the risk of complications. The desired outcome is a well-informed patient with clear post-procedure instructions.
1
Avoid rubbing the eye
2
Use prescribed eye drops
3
Avoid strenuous activities
4
Apply cold compress
5
Attend follow-up visit
Schedule follow-up visit
Schedule a follow-up visit for the patient to monitor their progress after the selective laser trabeculoplasty procedure. This task allows for continued assessment and adjustment of the treatment plan if necessary. The desired outcome is a scheduled follow-up appointment.
