Pre Test - The Role of Laser in the Treatment of Glaucoma*This pre test is NOT required unless your state board requires one for CE credit. Please check with your individual state board. Name * First Name Last Name Email License State and Number Anytime laser energy is put into the eye, the two most commonly encountered side effects are: Floaters and retinal detachment Inflammation and IOP spike Eye pain and permanent vision loss Corneal ulcers and macular edema The energy setting that is most often initially used when performing a YAG laser capsulotomy is: 0.5 mJ 1.3 mJ 2.5 mJ 500 mW Post-capsulotomy IOP spikes are most likely to arise within which time frame? 1-3 hours post-treatment 24-36 hours post-treatment 72 hours post-treatment 5-10 days post-treatment The most common cause of narrow angles/narrow angle glaucoma is: Phacomorphic glaucoma Malignant glaucoma Plateau iris syndrome Pupillary block Historically, where are laser peripheral iridotomy (PI) holes most often placed when doing the procedure? 3:00 6:00 11:00 12:00 In which of the following conditions would performing a laser trabeculoplasty be contraindicated? Inflammatory glaucoma POAG Pigmentary glaucoma Pseudoexfoliative glaucoma The SLT:MED study specifically studied prostaglandins vs. SLT as first line therapy in the United States. Its findings were: SLT was superior to prostaglandins in terms of IOP reduction and therefore SLT should now be first line therapy over prostaglandins Prostaglandins were superior to SLT in terms of IOP reduction and therefore SLT remains only a secondary therapy after drops have been tried first SLT and prostaglandins were statistically equal in terms of IOP reduction and number of treatment steps SLT was superior to prostaglandins in terms of IOP reduction but the SLT had to be repeated every 3 months to maintain IOP reduction ALT & SLT are thought to be effective in what percentage of patients at 1 year post-laser treatment? 100% 80% 50% 30% The mechanism of action by which the Selective Laser Trabeculoplasty (SLT) works is: Biologic activation of macrophages and phagocytes which clean up the targeted melanin containing cells in the TM Mechanical photocoagulation burns which open up adjacent areas of the TM Burning a hole in the TM through which aqueous flows more easily Photodisruption laser pulses which open up areas of the TM for aqueous to flow through The typical starting power when performing an SLT is: 200 mW 1200 mW 0.8 mJ 1.5 mJ Thank you submitting your responses. They have been recorded. Please email us if you need a copy for your state board.