Efficacy of 180° Cyclodiode Transscleral Photocoagulation for Refractory Glaucoma
Journal Title: TÜRK OFTALMOLOJİ DERGİSİ - Year 2018, Vol 48, Issue 6
Abstract
Objectives: To evaluate the efficacy and safety of transscleral cyclophotocoagulation (TS-CPC) limited to 180° of ciliary body ablation in patients with various forms of refractory glaucoma. Materials and Methods: Thirty eyes with refractory glaucoma treated with 180° TS-CPC were retrospectively analyzed for intraocular pressure (IOP) reduction and success rates. Patients’ age, gender, type of glaucoma, number of diode laser treatment sessions, postoperative complications, number of hypotensive medications required to control IOP, and best corrected visual acuity (BCVA) were evaluated. The criteria for success were defined as postoperative IOP <21 mmHg or >20% decrease in IOP with or without additional medical treatment. Results: The mean age of all patients was 51.3±26.9 years (range,1-84 years). The mean postoperative IOP level (23.9±8.5 mmHg) was significantly lower than preoperative IOP (39.2±8.9 mmHg) (p<0.001). The success rate was 66.6% after the first laser treatment and reached 86.7% following repeat laser treatments over an average follow-up period of 22.2±19.9 months. The need for topical hypotensive medications decreased from 2.8±1.0 preoperatively to 2.4±1.3 following TS-CPC (p=0.048). Two patients (6.6%) had a one-line decrease in their BCVA following TS-CPC. Transient hypotony and hyphema developed in 4 patients (13.3%). Total laser energy delivered did not correlate with either preoperative (rho=0.10; p=0.594) or postoperative IOP (rho=0.21; p=0.260). Conclusion: TS-CPC limited to 180° of ciliary body ablation is associated with a reasonable success rate and low incidence of adverse effects in patients with refractory glaucoma.
Authors and Affiliations
Figen Bezci Aygün, Mehmet Cem Mocan, Sibel Kocabeyoğlu, Murat İrkeç
Keywords
Related Articles
- EP ID EP436743
- DOI 10.4274/tjo.18559
- Views 99
- Downloads 0
Comparison of Refractive Status and Anterior Segment Parameters of Juvenile Open-Angle Glaucoma and Normal Subjects
Objectives: Our aim was to compare the refractive status and anterior segment parameters of patients with juvenile open-angle glaucoma (JOAG) and normal subjects. Materials and Methods: Twenty-five recently diagnosed cas...
Corneal, Scleral, Choroidal, and Foveal Thickness in Patients with Rheumatoid Arthritis
.
Tiroid Oftalmopati
Tiroid oftalmopati, Graves hastalığının en sık görülen tiroid dışı tutulumudur; ancak ötiroid ve hipotiroid hastalarda da görülebilir. Otoimmün bir hastalıktır fakat patogenezi halen tam olarak anlaşılamamıştır. Tiroid v...
Maküla Deliği Nedeniyle Retina Dekolmanı Olan Yüksek Miyop Gözde Maküler Çökertme Cerrahisi
Altmış sekiz yaşındaki kadın hasta kliniğimize sağ gözünde bir aydır devam eden merkezi görme alanı kaybı ve görme azalması yakınması ile başvurdu. Düzeltilmiş görme keskinliği (DGK) sağ gözde el hareketleri düzeyinde sa...
Evaluation of Scheimpflug Tomography Parameters in Subclinical Keratoconus, Clinical Keratoconus and Normal Caucasian Eyes
Objectives: To evaluate tomographic and topographic parameters in subclinical and clinical keratoconus eyes by comparing them with normal eyes in a young Caucasian population. Materials and Methods: This cross-sectional...