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Abstract #60406 Published in IGR 16-4
Long-term results from cyclocryotherapy applied to the 3o'clock and 9o'clock positions in blind refractory glaucoma patients
Kim BS; Kim YJ; Seo SW; Yoo JM; Kim SJKorean Journal of Ophthalmology 2015; 29: 47-52
PURPOSE: To report the long-term follow-up results after cyclocryotherapy, applied to the 3-o'clock and 9-o'clock positions in blind refractory glaucoma patients. METHODS: We retrospectively reviewed the charts of 19 blind patients, and a total of 20 eyes with refractory glaucoma who were treated with cyclocryotherapy. Cyclocryotherapy treatments were performed using a retinal cryoprobe. The temperature of each cyclocryotherapy spot was -80°C and each spot was maintained in place for 60 seconds. Six cyclocryotherapy spots were placed in each quadrant, including the 3-o'clock and 9-o'clock positions. RESULTS: The mean baseline pretreatment intraocular pressure (IOP) in all eyes was 50.9 ± 12.5 mmHg, which significantly decreased to a mean IOP at last follow-up of 14.1 ± 7.1 mmHg (p < 0.001). The mean number of antiglaucoma medications that patients were still taking at last follow-up was 0.3 ± 0.6. Devastating post-procedure phthisis occurred in only one eye. CONCLUSIONS: Cyclocryotherapy, performed at each quadrant and at the 3-o'clock and 9-o'clock position, is an effective way to lower IOP and, thus, is a reasonable treatment option for refractory glaucoma patients who experience with ocular pain and headaches.
Department of Ophthalmology, Gyeongsang National University School of Medicine, Jinju, Korea.
Full articleClassification:
12.10 Cyclodestruction (Part of: 12 Surgical treatment)
1.5 Glaucomas as cause of blindness (Part of: 1 General aspects)
