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Abstract #5525 Published in IGR 1-2
Result of transscleral diode laser cyclophotocoagulation for refractory glaucoma
Wakabayashi T; Ohtake Y; Shimoyama M; Tanino T; Miyata H; Mashima YJapanese Journal of Clinical Ophthalmology 1999; 53: 589-592
We reviewed a series of 24 eyes in 20 patients which were treated by diode laser transscleral cyclophotocoagulation for refractory glaucoma. The number of sessions ranged from 1 to 7 times, average 1.8 tiemes. They were followed up for 1 to 39 months after treatment, average 16.3 months. The average intraocular pressure (IOP) was 32.2 +- 12.4 mmHg before treatment and 16.3+-8.1 mmHg under medication at the last visit. The difference was significant (p<0.0001). Control of IOP after a single session was obtained in 50% after one year and in 25% after 3 years. Additional treatments induced IOP control below 21 mmHg in 18 eyes (75%). Complications included hyphema 2 eyes, serous retinochoroidal detachment 1 eye, persistent hypotony 1 eye and phthisis bulbi 1 eye. The findings show the relative safety and efficacy of this therapeutic modality for refractory glaucoma.LA: Japanese
T. Wakabayashi, Department of Ophthalmology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582; Japan
Classification:
12.10 Cyclodestruction (Part of: 12 Surgical treatment)