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Abstract #28031 Published in IGR 13-1
The UK national cyclodiode laser survey
Agrawal P; Dulku S; Nolan W; Sung VEye 2011; 25: 168-173
Purpose To evaluate current practice of transscleral diode laser cyclophotocoagulation (cyclodiode) laser treatment among consultant ophthalmologists in the United Kingdom.MethodsA 31-question survey was emailed to all practising consultant ophthalmologists who were members of the Royal College of Ophthalmologists. All non-responders were sent a postal version of the questionnaire. This paper looked at cyclodiode practice patterns and consisted of questions on demographic data, transillumination, and power settings, factors influencing practice, post-operative care, and repeat treatment. Results A total of 510 participants (53.6%) responded. A total of 180 (35.3%) responders reported performing cyclodiode laser treatment, of which 84 (46.7%) were glaucoma subspecialists (GSS). Initial median power settings used were 1500 mW and 2000 ms. The average number of applications delivered per sitting was 25.5(plus or minus)1.2 pplications for GSS vs 20.6(plus or minus)2.0 for non-GSS in a seeing eye (P=0.0013). In all, 65% routinely transilluminated the globe of which 78% were GSS and 52.3% were non-GS (P=0.0009). In all, 43% of the GSS vs 17% of the non-GSS lowered power settings in uveitic glaucoma (P=0.013). In blind eyes, 30% of the GSS vs12% of the non-GSS increased enery levels (P=0.0014). In all, 60% of the responders performed cyclodiode at any visual acuity, whereas 22% performed combined cyclodiode and cataract surgery.Conclusions This survey highlihts a wide variation in the use of cyclodiode laser treatment amongst GSS and non-GSS. However, the most frequently used practice may not be the optimal practice. A more individualised parameter according to the condition of the eyes may optimise the outcome.
V. Sung. Department of Ophthalmology, Birmingham and Midland Eye Centre, City Hospital, Dudley Road, Birmingham, West Midlands B18 7QH, United Kingdom. velota.sung@swbh.nhs.uk
Classification:
12.10 Cyclodestruction (Part of: 12 Surgical treatment)
