advertisement
Abstract #12621 Published in IGR 7-3
Cyclocryotherapy versus transscleral diode laser cyclophotocoagulation for uncontrolled intraocular pressure
Goldenberg Cohen N; Bahar I; Ostashinski M; Lusky M; Weinberger D; Gaton DDOphthalmic Surgery Lasers and Imaging 2005; 36: 272-279
BACKGROUND AND OBJECTIVE: To compare the use of cyclocryotherapy and diode laser cyclophotocoagulation for the treatment of uncontrolled intraocular pressure. PATIENTS AND METHODS: Seventy consecutive patients (70 eyes) treated for high, unresponsive intraocular pressure during a 4-year period with cyclocryotherapy (n = 38) or diode laser cyclophotocoagulation (n = 32) with a follow-up period of at least 3 months (mean follow-up = 15.7 months) were compared for intraocular pressure, visual acuity, and complication rate. RESULTS: Mean intraocular pressure was reduced from 40.9 ± 11.9 to 20.5 ± 10.3 mmHg in the cyclocryotherapy group, and from 35.9 ± 9.3 to 21.3 ± 10.7 mmHg in the cyclophotocoagulation group. Intraocular pressure was controlled in 60.5% and 62.5% of eyes, respectively. Deterioration in visual acuity occurred in 31.5% of the cyclocryotherapy group and 37.5% of the cyclophotocoagulation group. Severe visual loss to no light perception was noted in 6 eyes and 2 eyes, respectively, and phthisis bulbi in 2 eyes in the cyclocryotherapy group (5.2%) and 1 eye in the cyclophotocoagulation group (3.1%). CONCLUSIONS: Cyclocryotherapy and diode laser cyclophotocoagulation are equally effective in decreasing intraocular pressure in patients with persistent uncontrolled glaucoma, with a lower rate of complications associated with diode laser cyclophotocoagulation.
Dr. N. Goldenberg Cohen, Department of Ophthalmology, Rabin Medical Center, Beilinson Campus, Petah Tiqva, Israel
Classification:
12.10 Cyclodestruction (Part of: 12 Surgical treatment)
