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AIM: To evaluate the effectiveness of transscleral diode laser cyclophotocoagulation in treatment of secondary glaucoma in children. MATERIAL AND METHODS: Fifty children (50 eyes) with secondary glaucoma (aphakic, post-traumatic, in Sturge-Weber syndrome, and in aniridia) which could not be controlled by medical or surgical therapy, or in whom the surgery had a high risk of postoperative complications. Diode laser transscleral cyclophotocoagulation had been performed in all the patients. RESULTS: After one month intraocular pressure was reduced (with or without medical treatment) to below 23 mmHg in 40% of patients, and after six months in 68% of patients. The worst results were observed in post-traumatic glaucoma. CONCLUSIONS: Diode laser transscleral cyclophotocoagulation is a safe and effective method of treating children with secondary glaucoma that could not be controlled with other methods of medical or surgical therapy, or in whom the surgery had a high risk of postoperative complications. LA: Polish
Dr D. Klimczak-Slaczka, Z Kliniki Okulistyki Instytutu Pomnik-Centrum Zdrowia Dziecka Kierownik, Poland
12.10 Cyclodestruction (Part of: 12 Surgical treatment)