[Selective Laser Trabeculoplasty - Implication for Medicament Glaucoma Treatment Interruption in Pregnant and Breastfeeding Women].

During the period of the last six years (2010-2016), the authors performed Selective Laser Trabeculoplasty (SLT) in 32 women (64 eyes); pregnant women patients with primary open angle glaucoma were referred to the Department of Ophthalmology, First Medical Faculty, Charles University, and Central Military Hospital in Prague, Czech Republic, European Union, to perform this procedure with the goal to interrupt their antiglaucomatic treatment by means of eye drops during the pregnancy and the breastfeeding period. In other 7 cases (14 eyes), they performed the SLT with the goal to terminate the local medicament treatment before planned pregnancy. The procedure was performed on the outpatient basis, during one session, always in both eyes, after one-shot local anesthesia, following their own protocol in the range of 270° of the iridocorneal angle circumferentially, with the parameters 1.

[Preservative substances - the daily dose of benzalkonium chloride in glaucoma treatment from the patients point of view].

The author calculated the daily dose of Benzalkonium Chloride (BAC) in eye drops used in glaucoma treatment from the patients point of view, which means the real amount of BAC applied in the conjunctival sac. The information about BAC concentration in 1 milliliter (mL) do not offer sufficient picture about real circumstances, because the size of the drop, especially after the introducing of the use of generic products in clinical practice in specific anti-glaucomatic drugs, differs significantly. The daily dose of BAC may have substantial significance in the patients treatment tolerance.

[Glaucoma therapy - current overview of data and information].

The authors submit the overview of the actual situation in the glaucoma therapy. They follow up the trends in antiglaucomatic treatment in the last period including financial aspects of medicament and surgical treatment. Attention is paid especially to medicaments management, actual overview of available antiglaucomatic drugs, function and position of generic drugs and differences among them, the daily dose of benzalconium chloride in glaucoma treatment, actual average of patients supplementary payments at the drug purchase in the pharmacy, surgical treatment costs and legal issues.

[Benzalkonium chloride daily dose--an important criterion in glaucoma treatment].

Preservatives in eye drops, especially benzalkonium chloride (BAC), may act as cytotoxic; furthermore, it may cause the instability of the tear film, conjunctivitis, subconjunctival fibrosis, epithelium apoptosis and worsening the prognosis of possible surgical treatment. The patient's subjective symptoms may decrease his compliance. For better orientation in this issue, the authors calculated the daily BAC doses in eye drops used in the glaucoma treatment.

[Selective laser trabeculoplasty in glaucoma treatment--results during three years follow-up].

The authors present results of their own modification of selective laser trabeculoplasty in primary open angle glaucoma and other groups of glaucoma using the laser machine Laserex Tango (wave length 532 nm, Q-switched, Nd-YAG laser, pulse duration 3 ns [nanoseconds], target diameter 400 Um, 80 burns, extension? of the circumference of the anterior chamber angle, power 1.0 mJ). The intraocular pressure was measured by means of the non-contact tonometer Nidek 2000, calibrated according to the current legislation.