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OBJECTIVE: To determine the long-term visual acuity (VA) outcome of eyes with ambulatory vision (20/80 or better) that were treated with transscleral laser cyclotherapy. DESIGN: Observational case series. PARTICIPANTS: Twenty-one eyes of 21 patients who had been treated with laser cyclotherapy and who had been followed up at least 1 year. METHODS: A retrospective chart review was conducted to record the prelaser best-corrected VA and then the last available post laser VA and duration of follow-up. Additional laser or surgical interventions for glaucoma control were also recorded. MAIN OUTCOME MEASURES: Changes in VA from pretreatment to last available examination. RESULTS: The 21 eyes were followed for a mean of 40.7 months (range, 13-88 months); 17 eyes had a final vision within 1 line of the prelaser VA. One eye improved 3 lines, and 3 eyes deteriorated 3 or more lines. CONCLUSIONS: Most eyes with 20/80 or better VA maintained close to that acuity after laser cyclotherapy after a mean follow-up of 40.7 months. These good visual results offer support for those who believe that the indications for laser cyclotherapy should not be limited to eyes with poor VA or potential.
Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, College of Medicine, Chicago, Illinois 60612, USA.
12.10 Cyclodestruction (Part of: 12 Surgical treatment)