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Abstract #19209 Published in IGR 3-1
Cyclodiode laser therapy for painful, blind glaucomatous eyes
Martin KR; Broadway DCBritish Journal of Ophthalmology 2001; 85: 474-476
AIMS: To determine the ability of cyclodiode laser treatment to relieve discomfort in painful blind glaucomatous eyes. METHODS: Thirty eyes underwent cyclodiode to reduce intraocular pressure (IOP) and relieve pain. Patients graded their pre-cyclodiode and post-cyclodiode pain. RESULTS: After a minimum follow up of six months, a single cyclodiode treatment lowered mean IOP from 51 mmHg (95% CI plus or minus 3.7 mmHg) to 26 mmHg (95% CI plus or minus 5.8 mmHg) providing pain relief in 73.3% (22/30). After retreatment of six eyes, mean IOP was reduced to 22 (95% CI plus or minus 5.3) mmHg and pain relief was obtained in 96.7% (29/30). For eyes achieving pain relief after one treatment, IOP was reduced by>30% in 81.0% (17/21). For eyes not achieving pain relief after one treatment, IOP was reduced by>30% in only 22.2% (2/9) (p = 0.0042, Fisher's exact test). CONCLUSIONS: Cyclodiode was highly successful in providing pain relief in painful blind hypertensive glaucomatous eyes. The best predictor of successful pain relief was IOP reduction of >30% from baseline.
Dr K.R. Martin, Department of Ophthalmology, Norfolk and Norwich Healthcare NHS Trust, West Norwich Hospital, Norwich, UK
Classification:
12.10 Cyclodestruction (Part of: 12 Surgical treatment)
