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Abstract #22119 Published in IGR 10-4
Phthisis after endoscopic cyclophotocoagulation
Ahmad S; Wallace DJ; Herndon LWOphthalmic Surgery Lasers and Imaging 2008; 39: 407-408
A 47-year-old man was treated with one session of endoscopic cyclophotocoagulation for uncontrolled, elevated intraocular pressure. Before treatment, the eye was quiet and uninflamed. Pretreatment visual acuity was 4/200 and the intraocular pressure was 24 mmHg. Treatment was applied to the ciliary processes for nearly 360 degrees. During the postoperative follow-up, the patient developed eye pain and persistent ocular inflammation. This ultimately led to phthisical changes evident 5 months postoperatively, when visual acuity was 1/200 and the intraocular pressure was 7 mmHg. Eighteen months after endoscopic cyclophotocoagulation, visual acuity was light perception and intraocular pressure was less than 1 mmHg. Phthisis is among the complications that may result after treatment with endoscopic cyclophotocoagulation.
Dr. S. Ahmad, Department of Ophthalmology Duke University Medical Center, Durham, NC 27710, USA.