Micropulse Transscleral Diode Laser Cyclophotocoagulation in Refractory Glaucoma
| Autor: | Brett Mcknight, Vikas Chopra, Christine V. Nguyen, James C. Tan, Brian A. Francis, Giancarlo A. Garcia, Aleksandr Yelenskiy, Kenneth Lu, Alex S. Huang, Goichi Akiyama |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Intraocular pressure Visual acuity genetic structures Minimally invasive glaucoma surgery medicine.medical_treatment Glaucoma 01 natural sciences 03 medical and health sciences 0302 clinical medicine Refractory medicine Glaucoma surgery 0101 mathematics business.industry 010102 general mathematics Retrospective cohort study General Medicine medicine.disease eye diseases Surgery 030221 ophthalmology & optometry Surgical history sense organs medicine.symptom business |
| Zdroj: | Ophthalmology Glaucoma. 2:402-412 |
| ISSN: | 2589-4196 |
| DOI: | 10.1016/j.ogla.2019.08.009 |
| Popis: | Purpose To assess the short-term efficacy and safety of micropulse transscleral diode laser cyclophotocoagulation (MP-TSCPC) in the management of refractory glaucoma and to compare outcomes based on prior glaucoma surgeries. Design Retrospective analysis. Participants Patients with refractory glaucoma who underwent MP-TSCPC at a single institution by 1 of 4 surgeons. Methods Chart review of cases of MP-TSCPC using the Iridex Cyclo G6 (Mountain View, CA) laser with standard parameters and laser duration at the discretion of each treating physician. Main Outcome Measures Probability of postoperative success was estimated by the Kaplan-Meier method. Success parameters included intraocular pressure (IOP) 6 to 21 mmHg with or without topical antihypertensive therapy, 20% or more IOP reduction from baseline for any 2 consecutive visits after 3 postoperative months, and no subsequent glaucoma surgery. Results One hundred sixteen eyes of 116 patients (mean age, 65.8±16.9 years) were included. Baseline IOP was 22.2±7.9 mmHg, and mean postoperative follow-up time was 6.3±3.4 months (range, 3–12 months.) Postoperative IOP at the final follow up was 15.3±6.6 mmHg (P Conclusions Micropulse transscleral diode laser cyclophotocoagulation has a significant short-term ocular hypotensive effect and favorable safety profile in eyes with refractory glaucoma. The probability of successful outcome was greater in eyes that had undergone prior traditional glaucoma surgery. |
| Databáze: | OpenAIRE |
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