Hello, I´m Honassys Rocha, Clínica do Olho Medical Doctor. In this video I´ll show you the best moment to use the laser to treat glaucoma. Use the opening time, to give us a like and to subscribe to the channel. In this video I´ll express my opinion about laser use in glaucoma, in glaucoma disease treatment. For you, to understand, for you, who are watching, understand this point of view, and I want to make it very clear, this is my opinion, and there are other opinions, equally correct from other glaucoma speciallized collegues. But I want to tell you a little bit about my history so you can understand how I came to this point of view. So, while I was studying Medicin in Universidade Federal da Bahia, I was also studying Computer Science in Universidade Católica do Salvador. A year and a half later, I chose to keep studyin Medicin and I had to terminate Computer Science but I remained as a technology supporter. I understand that a racional use of technology, based in evidence, really helps people life quality. And when we treat health, specifically ocular health, glaucoma in particular, we have a powerfull ally in treatment wich is the laser. There are some types of laser and all of them can be used in glaucoma treatment. Many times, laser treatment is enough to control glaucoma. Many people need eyedrops, and many other people take advantage of the exclusive use of the laser There is still a situation that we can match laser treatment with eyedrop treatment. So we can match these treatments: eyedrop-laser In the past, I mean, when I was in medical residency, about 20 years ago, glaucoma classic treatment used to begin with eyedrop, than we used to associate eyedrops, and than if the disease kept in progress, only in this situation, we would apply the laser. Although if it wasn´t enough, we would try antiglaucomatous surgery. Nowadays, trabeculectomy is most popular surgery. Scientific papers that compare treatment results, that show and compare the evolution of people who submit themselves to the laser treatment. The evolution of these people who submit themselves to eyedrop treatment shows that laser can be used from the begining of the disease. Nowadays, thinking about life quality, the treatment sequence in benefit of glaucoma patient is: Laser – Eyedrop – laser – and only then surgery. Basicaly there are three types of laser available: They are Trabeculoplasty, Iridotomy and Iridoplasty. We already know from other videos that there are opened-angle glaucoma and closed-angle glaucoma Selective Laser Trabeculoplasty wich is the most modern trabeculoplasty technique. It is a technique without the cuts needed, minimally invasive. It can be quietly done outpatient, with few side effects. One laser application has at least 18 months effect. Just as like one of most powerfull eyedrop from this time There are two other techniques: Iridotomy and Iridoplasty. We choose these techniques to closed-angle glaucoma patient. So we begin the treatment with the laser. If we need, we can even repeat them. Than we can use eyedrops. Nowadays, we have excellent drugs. They work very well, with greatly intraocular pressure reduce. After this fase, even if the disease pregresses, we can now apply a new type of laser, called Trasscleral Micropulse Laser. Another non-invasive technique. It can also reduce the pressure to the appropriate level. Some people can take advantage, getting rid of antiglaucomatous surgery need. This is where common sense remains: the surgery should only be used in special cases So we always have to keep in mind the improvement of glaucoma patient life quality. If we get this through proper technlogy, we can also use it to improve our diagnosis. I´m talking specially about the racional use of OCT – Optical Coherence Tomography. But this is a new vdeo subject Vision is the most important human being sense Best regards, see you next video.