Slow coagulation versus micropulse transscleral cyclophotocoagulation for refractory childhood glaucoma.

Autor:	Seixas RCS; HCLOE Clinica de Oftalmologia Especializada, Sao Paulo, Brazil., Russ HHA; HR Oftalmologia, Curitiba, Brazil., Maestrini HA; Oculare Ophthalmology Hospital, Belo Horizonte, Brazil., Balbino M; Centro Universitario São Camilo, Sao Paulo, Brazil., Fernandes TAP; Oculare Ophthalmology Hospital, Belo Horizonte, Brazil., Lima NVDA; VisionOne- Hospital de Olhos CBV, Brasilia, Brazil., Lopes NLV; VisionOne- Hospital de Olhos CBV, Brasilia, Brazil., Neto TDSR; Department of Ophthalmology, University of Sao Paulo, Sao Paulo, Brazil.
Jazyk:	angličtina
Zdroj:	European journal of ophthalmology [Eur J Ophthalmol] 2024 Nov; Vol. 34 (6), pp. 1932-1940. Date of Electronic Publication: 2024 Feb 29.
DOI:	10.1177/11206721241236920
Abstrakt:	Purpose: To compare the safety and efficacy of micropulse laser (MP-TSCP) and slow coagulation transscleral cyclophotocoagulation (TSCP) with a diode laser for reducing intraocular pressure (IOP) in patients with refractory childhood glaucoma (CG). Methods: Patients with CG and at least 12 months of medical chart data were included. Data on preoperative and postoperative outcomes were analyzed. The primary outcomes were an IOP of 6-21 mmHg and/or ≥ 20% reduction in the baseline value. Results: A total of 17 eyes were included. The preoperative mean IOP was 28 mmHg in the MP-TSCP and 29.9 mmHg in the TSCP. The mean IOP decreased significantly to 17.26 ± 3.27 mmHg in the MP-TSCP and 14.68 ± 5.79 mmHg TSCP at the last medical record. Three anti-glaucoma meds were administered to the eyes preoperatively in both groups. A mean of 1.02 eye drops was administered to the MP-TSCP and 2.06 to the TSCP. The number of medications decreased by 2.38 ± 1.55 in the MP-TSCP and 0.82 ± 1.68 in the TSCP. The median preoperative visual acuity (logMAR) was 1.51 ± 1.06 in the MP-TSCP and 1.87 ± 0.74 in the TSCP. The variation in mean visual acuity (logMAR) was -0.027 ± 0.05 in the MP-TSCP and -0.40 ± 0.58 in the TSCP. The most frequent complication was corneal decompensation (one - MP-TSCP and two - TSCP). Conclusion: Both techniques were effective and relatively safe for reducing IOP. These techniques appear to extend the indications of cyclophotocoagulation in CG eyes and improve the functional prognosis. Competing Interests: Declaration of conflicting interestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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