Micropulse Cyclophotocoagulation: Initial Results in Refractory Glaucoma
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- 1 August 2017
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Journal of Glaucoma
- Vol. 26 (8), 726-729
- https://doi.org/10.1097/ijg.0000000000000715
Abstract
The purpose of this study is to evaluate the use of micropulse transscleral cyclophotocoagulation (MP-TSCPC), a new and increasingly popular treatment, in patients with uncontrolled glaucoma. A retrospective chart review was performed for all patients who underwent a MP-TSCPC at the Glaucoma Associates of Texas. A total of 84 eyes were treated with MP-TSCPC in this study with a mean follow-up time of 4.3 months. The mean age of treated patients was 74 years and 48 (57%) were female. Preoperatively, mean intraocular pressure (IOP) was 27.7 mm Hg and mean number of ocular antihypertensive medications used was 3.3. Mean postoperative IOP at months 1, 3, 6, and 12 were lowered to 16.3 mm Hg (41.2% reduction), 14.6, 13.0, and 11.1 mm Hg, respectively. Postoperative ocular antihypertensive medication use was also lowered to 1.9, 2.0, 2.0, and 2.3 medications at months 1, 3, 6, and 12, respectively. Five patients required further laser or surgical intervention for adequate IOP control. Complications included hypotony, IOP spike, hyphema, serous choroidal detachment, persistent inflammation, and vision loss. At 3 months, inflammation was still present in 46% of eyes and vision loss of at least 1 line was present in 41% of eyes. MP-TSCPC is effective at lowering IOP and decreasing the need for ocular antihypertensive medications. Eyes with limited visual potential or at high risk for incisional glaucoma surgery can successfully be treated with MP-TSCPC as a reasonable and effective alternative to traditional CPC. These results present short-term data and both longer follow-up and further studies are necessary.Keywords
This publication has 11 references indexed in Scilit:
- Treatment outcomes of micropulse transscleral cyclophotocoagulation in advanced glaucomaLasers in Medical Science, 2015
- Micropulse versus continuous wave transscleral diode cyclophotocoagulation in refractory glaucoma: a randomized exploratory studyClinical & Experimental Ophthalmology, 2014
- Update on results and complications of cyclophotocoagulationCurrent Opinion in Opthalmology, 2013
- Comparative Effectiveness of Treatments for Open-Angle Glaucoma: A Systematic Review for the U.S. Preventive Services Task ForceAnnals of Internal Medicine, 2013
- Micropulse transscleral diode laser cyclophotocoagulation in the treatment of refractory glaucomaClinical & Experimental Ophthalmology, 2010
- Comparison of acute structural and histopathological changes of the porcine ciliary processes after endoscopic cyclophotocoagulation and transscleral cyclophotocoagulationClinical & Experimental Ophthalmology, 2007
- Diode laser cycloablation in adult glaucoma: long‐term results of a standard protocol and review of current literatureClinical & Experimental Ophthalmology, 2006
- The number of people with glaucoma worldwide in 2010 and 2020British Journal of Ophthalmology, 2006
- Cyclophotocoagulation A report by the american academy of ophthalmologyOphthalmology, 2001
- Long-term Outcome of Initial Ciliary Ablation with Contact Diode Laser Transscleral Cyclophotocoagulation for Severe GlaucomaOphthalmology, 1996