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Abstract #19401 Published in IGR 9-3
Scleral thinning after transcleral diode laser cycloablation
Morales J; Al-Shahwan S; Al-Dawoud A; Vila-Coro AA; Kumarasamy MOphthalmic Surgery Lasers and Imaging 2007; 38: 301-306
BACKGROUND AND OBJECTIVE: To high-light the occurrence of scleral thinning after transcleral diode laser cycloablation therapy. PATIENTS AND METHODS: A retrospective chart review was done of consecutive patients from the glaucoma and pediatric ophthalmology clinics of a tertiary eye care center in whom the presence of scleral thinning was noted after transcleral diode laser cycloablation therapy. RESULTS: Eleven eyes of 9 patients with various types of glaucoma (traumatic, congenital, juvenile, steroid induced, uveitic, and secondary angle closure) were found to have scleral thinning after undergoing transcleral diode laser cycloablation therapy for refractory glaucoma. Seven patients had undergone only one session before new scleral thinning was noted. Two patients had bilateral transcleral diode laser cycloablation therapy and subsequent bilateral thinning. CONCLUSIONS: Scleral thinning may occur after diode laser cycloablation therapy even with only 1 treatment session and intact sclera, and young patients may be more susceptible to thinning.
Dr. J. Morales, Glaucoma Division, King Khaled Eye Specialist Hospital, P. O. Box 7191, Riyadh 11462, Saudi Arabia
Classification:
12.10 Cyclodestruction (Part of: 12 Surgical treatment)
2.3 Sclera (Part of: 2 Anatomical structures in glaucoma)
