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AIM: To evaluate the efficiency of transscleral cyclophotocoagulation (TSCPC) for refractory glaucoma. METHODS: Retrospective analysis was made in 36 eyes with refractory glaucoma treated by TSCPC with lower energy power (1.5-2.1W) and more laser spots (10-32). Intraocular pressure (IOP), visual acuity, ocular symptoms and complications were observed after TSCPC. Patients were followed up for 3 months. RESULTS: The mean preoperative IOP was 62.89 (plus or minus) 17.36mmHg which was significantly different from the final follow-up mean IOP, 21.13 (plus or minus) 7.06mmHg (P < 0.05). The success rate was 83% (30/36). Postoperative visual acuity remained unchanged in 6 eyes; improved in 4 eyes. The cyclocryotherapy were performed in 6 eyes whose IOP was not controlled. The pain sense disappeared or remarkably relieved. The main complications included mild uveitis and hyphemae. Atrophy of eyeball occurred in no eye. CONCLUSION: TSCPC is a simple, safe and effective method for eyes with refractory glaucoma.LA: Chinese
W.-S. Lu. Xingtai Eye Hospital, Xingtai 054001, Hebei Province, China. luwensheng403@163.com
12.10 Cyclodestruction (Part of: 12 Surgical treatment)