Norlase® ECHO® - Multispot Pattern Laser

Key Features:

• FIBRELESS, ULTRA-COMPACT DESIGN
  The integrated build eliminates fragile external fibre cables — the primary cause of traditional laser system downtime. This means fewer service interruptions and lower lifetime maintenance costs.
• ADVANCED MEMS TECHNOLOGY (FOR PMLT & RETINA TREATMENTS)
  ECHO’s MEMS engine powers both conventional pattern photocoagulation and the new Pattern Microsecond Laser Trabeculoplasty (PMLT). PMLT uses MEMS-precision pattern delivery plus an indexing gonio lens to automatically align each treatment segment on the trabecular meshwork, ensuring complete coverage and preventing overlap.
• FULL PATTERN PALETTE
  Choose from multiple pattern configurations — including grids, circles, and triple arcs — with exact, repeatable spot placement.
• WIRELESS CONTROL & VOICE COMMANDS
  ECHO is operated via a sleek wireless tablet. An industry-first voice-control system lets clinicians adjust pattern type and laser parameters hands-free, maintaining full visual focus on the patient.
• HIGH-CLARITY SAFETY FILTERS
  Proprietary coatings provide exceptionally clear optical filters, delivering accurate colour transmission during treatment for enhanced visibility at the slit lamp.
• µSEC (MICROSECOND) TREATMENT MODE
  Sub-threshold, tissue-sparing microsecond pulsing minimises thermal damage — ideal for retinal therapy and essential for the mechanism of action behind MLT/PMLT.
• PORTABLE & SLIT-LAMP MOUNTED
  Easily mounts to a wide range of compatible slit lamps, allowing laser treatment to be delivered exactly where clinicians already work.
• Introducing PMLT: Pattern Microsecond Laser Trabeculoplasty
  Advancing Glaucoma Treatment 
  PMLT is the next evolution of microsecond laser trabeculoplasty, delivering:
  • Automated, pattern-based placement using MEMS technology
  • 128 precisely aligned spots over 360°, delivered in 32 segments via the Latina 1× Indexing PSLT lens (11.25° per click)
  • No tissue damage, no bubbles or blanching, and reduced risk of pressure spikes versus SLT
  • Consistent, repeatable coverage even when the trabecular meshwork anatomy varies
  • Faster procedure time thanks to semi-automated pattern rotation and alignment
• When to Use PMLT
  PMLT is suitable for:
  • Medical treatment failure (IOP too high despite drops)
  • Drop intolerance or poor access
  • Poor compliance
  • To delay more invasive surgery
  • As a first-line option for newly diagnosed patients when adherence is a concern
• Clinical Insights & Early Experience
  Initial cases performed in 2025 report faster visualisation, swift procedure times, and sub-visible endpoints.
• Mechanism of Action (MLT/PMLT)
  PMLT delivers short “on” pulses followed by cooling “off” periods, avoiding thermal buildup and preventing tissue damage. This stimulates a cellular stress response, promoting extracellular matrix remodelling and improving aqueous outflow.