Transscleral cyclophotocoagulation with MicroPulse

Autor: Sofia, Fili, Kalliopi, Kontopoulou, Iraklis, Vastardis, Georgios, Perdikakis, Styliani Alexia, Papadonta, Eleni Zaira, Armeni, Markus, Kohlhaas
Rok vydání: 2020
Předmět:
Zdroj: International ophthalmology. 41(4)
ISSN: 1573-2630
Popis: To compare the efficacy of transscleral cyclophotocoagulation with MicroPulseIn a prospective observational clinical study, 30 patients (30 eyes) with advanced open-angle glaucoma were randomized for either micropulse transscleral cyclophotocoagulation with 3000 mW or Ahmed valve implantation. Fifteen eyes were treated with transscleral cyclophotocoagulation with MicroPulseA reduction of the intraocular pressure30% was achieved in 33.3% of group A and in 73.3% of group B during the follow-up period of 12 months. A statistically significant decrease in the number of eye drops was observed in both groups (p0.01). 53.3% of the eyes of group A underwent additional anti-glaucoma procedures to achieve target intraocular pressure. The number of the local medications that were administered 12 months after the ocular surgery was 2 (± 1.3) in group A and 0.57 (± 0.9) in group B, compared to 3.2 (± 0.78) in group A and 3.33 (± 0.7) in group B administered prior to the surgery (p: 0.016). 8 eyes (53.33%) in group A were referred for additional treatment due to an acute postoperative rise in IOP (5 eyes: mTS-CPC, 1 eye: canaloplasty, 2 eyes: AGV implantation). No further anti-glaucoma procedures were necessary in group B.The Ahmed valve implantation achieves a more efficient decrease of the intraocular pressure as well as of the number of antiglaucoma agents than the transscleral cyclophotocoagulation with MicroPulse
Databáze: OpenAIRE