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Transscleral diode laser cyclocoagulation was modified so that laser coagulants (20-25 applications) were applied not only to the ciliary crown, but also to the flat part of the ciliary body. Inflammation modulators forming after coagulation thus enter aqueous humor and the vitreous body and penetrate into the retina and optic disc, causing dilatation of capillaries and stimulating the blood stream in them. Forty patients (40 eyes) with far advanced glaucoma and pronounced concentric narrowing of the visual field were operated on and observed for six to 12 months postoperation. One month after the intervention, intraocular pressure decreased by 9-21 mmHg and was below 22 mmHg in 38 eyes; visual acuity increased by 0.1-0.3 in 11 cases; visual field widened in all patients. These results did not appreciably change till the end of the period of observation. LA: Russian
12.10 Cyclodestruction (Part of: 12 Surgical treatment)