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Abstract #10469 Published in IGR 6-1
Intraocular pressure after cyclophotocoagulation with the diode laser
Flamm C; Wiegand WOphthalmologe 2004; 101: 263-267
BACKGROUND: The reduction of intraocular pressure (IOP) following a single cyclophotocoagulation (CPC) procedure with a diode laser was investigated retrospectively. METHODS: CPC was performed on 150 eyes with a diode laser using standard parameters. The decrease of IOP between the first and third days after surgery, and after six months and one year was investigated for different types of glaucoma and complications were documented. RESULTS: Overall and also in the individual groups the mean reduction of IOP within the first three days postoperation was 35%. The main effect, however, occurred within the first day after CPC. The long-term results after six months and one year showed that mean pressure values remained relatively stable but with a high standard deviation. A postoperative inflammatory reaction in the anterior chamber was observed in 15 eyes, one eye showed temporary hypotension and two eyes phthisis. The success of CPC was almost identical in all treatment groups with a 38% decrease of IOP after the first year. In addition, IOP was stable at a low level during the first year after CPC. After one year, treatment of 42% of eyes was still successful; 38% of eyes needed further CPC treatment. CONCLUSIONS: CPC is an effective procedure for the surgical reduction of IOP. The initial pressure-reducing effect of CPC was not related to the type of glaucoma. However, individual predictability of the effect of CPC is difficult because of the high interindividual differences. The complication rate is low. LA: German
Dr. C. Flamm, Augenabteilung, Klinikum Nord-Heidberg, Tangstedter Landstrasse 400, 22417 Hamburg, Germany
Classification:
12.10 Cyclodestruction (Part of: 12 Surgical treatment)
