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PURPOSE: To evaluate the effect of infrared irradiation to the stellate gangion on glaucoma. CASES AND METHODS: This prospective study was made on 18 eyes of 18 glaucoma patients. Their age ranged from 54 to 84 years, average 68 years. As inclusion criteria, the patients showed progression of visual field defect in spite of well-controlled intraocular pressure (IOP). Linear polarized infrared ray was applied to the area of stellate ganglion for 1 second with 4-second interval during a total of 10 minutes per session. The session was repeated twice a week for 6 months. Besides IOP, blood pressure and Humphrey visual field, blood flow in the optic nerve head was measured using laser speckle method. RESULTS: Blood flow in the optic nerve head increased singificantly following radiation. IOP showed a transient decrease with no lasting changes. Visual field defect progressed in 4 eyes on the treated side and in 7 eyes on untreated side. CONCLUSION: Infrared irradiation to the stellate gangion increases blood flow in the ipsilateral optic nerve head. The treatment may be effective in preventing progression of glaucomatous visual field defect in selected cases. LA: Japanese
Dr. T. Sugiyama, Department of Ophthalmology, Osaka Medical College, 2-7 Daigaku-machi, Takatsuki 569-8686, Japan
11.20 Other (Part of: 11 Medical treatment)
6.11 Bloodflow measurements (Part of: 6 Clinical examination methods)