Advanced Uncontrolled Glaucoma

Noureddin, Baha’ N.; Wilson-Holt, N; Lavin, Michael; Jeffrey, Michael; Hitchings, Roger A.

doi:10.1016/s0161-6420(92)31956-6

Cited by 53 publications

(3 citation statements)

References 21 publications

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“…Implantation of a glaucoma drainage device offers moderate to good success rates, depending on the patient population [10, 11, 12, 13, 14, 15]. Drainage devices may produce an IOP in the lower normal range and allow a significant reduction in medications [16]. However, severe complications, including suprachoroidal hemorrhage, choroidal detachment, and hypotony, are not uncommon.…”

Section: Discussionmentioning

confidence: 99%

Long-Term Results of Transscleral Cyclophotocoagulation in Refractory Pediatric Glaucoma Patients

Autrata

Řehůřek²

2003

Ophthalmologica

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We evaluated efficacy and complications of diode laser cyclophotocoagulation in pediatric patients with refractory glaucomas. The retrospective study comprised 69 eyes of 53 pediatric patients with uncontrolled refractory glaucoma treated by transscleral diode laser cyclophotocoagulation. The mean age was 6.1 ± 4.29 (range 0.9–15) years. The main parameters evaluated were: intraocular pressure (IOP), visual acuity, and complications. The mean follow-up period was 5.6 ± 2.8 (range 2.2–9.5) years. Treatment success was defined as a postoperative IOP of ≤21 mm Hg, with or without adjunctive glaucoma medications. The baseline mean pretreatment IOP was 34.08 ± 7.13 (range 24–47) mm Hg. The final mean postoperative IOP was 20.81 ± 6.38 (range12–33) mm Hg after a mean of 2.13 ± 1.47 (range 1–6) laser procedures. After one treatment session, 66% of the eyes had a successful reduction in IOP (≤21 mm Hg), but this had fallen to 41% by 1 year. With repeat cyclophotocoagulation, 79% of the eyes had a clinically effective reduction in IOP(≤21 mm Hg) for 1 year (mean 7.1-month interval between treatments). Postoperative complications included choroidal detachment in 4 eyes and retinal detachment in 2 eyes with progression of vision loss. All these complications occurred in aphakic patients. Cyclophotocoagulation by diode laser is a useful therapy for the treatment of refractory pediatric glaucomas with uncontrolled IOP. Cyclodiode repeated treatment can provide effective control of IOP with a low risk of severe complications. Aphakic patients may have an increased risk of postoperative complications.

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Section: Discussionmentioning

confidence: 99%

Long-Term Results of Transscleral Cyclophotocoagulation in Refractory Pediatric Glaucoma Patients

Autrata

Řehůřek²

2003

Ophthalmologica

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“…Shunt (tube) operations can be considered valid alternatives to laser methods [140, 141]. However, there are important differences.…”

Section: Comparison Of Nd:yag Cyclophotocoagulation With Other Last-rmentioning

confidence: 99%

“…However, there are important differences. In some studies, laser cyclodestruction has been compared with various shunt methods [140, 141, 142, 143, 144, 145, 146, 147]. Normalization of IOP can be achieved with both methods.…”

Section: Comparison Of Nd:yag Cyclophotocoagulation With Other Last-rmentioning

confidence: 99%

Cyclodestructive Procedures

Fankhauser

Kwasniewska

2004

Ophthalmologica

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Laser cyclophotocoagulation is an accepted method of cyclodestruction, such as cyclocryothermy and the application of cyclodiathermy, microwaves and ultrasound. These procedures may be considered as ultima ratios or ‘last-resort interventions’. Also, in cases where surgery is not possible, cyclodestruction may be the initial intervention. Among other lasers, the Nd:YAG and diode lasers are the energy sources of choice. Contact and noncontact methods have about the same clinical efficiency and risk. While immediate complications are transitory, other, late complications, mentioned in the world literature, such as sympathetic ophthalmia, malignant glaucoma and retinal detachment, are more serious but are rare, and their causal relationship with the cyclodestructive procedure is doubtful. However, they still merit our attention. The ultrastructural mechanisms related to cyclocoagulation have been studied. The study of aqueous flow may improve our understanding of cyclophotocoagulation techniques. Cyclophotocoagulation is considered an important cornerstone in glaucoma therapy. The uncertainty of its effect is no greater than that of any other therapeutic measure in the treatment of glaucoma.

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One-Year Results of Semiconductor Transscleral Cyclophotocoagulation in Patients With Glaucoma

Hawkins¹

1993

Arch Ophthalmol

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Advanced Uncontrolled Glaucoma

Cited by 53 publications

References 21 publications

Long-Term Results of Transscleral Cyclophotocoagulation in Refractory Pediatric Glaucoma Patients

Long-Term Results of Transscleral Cyclophotocoagulation in Refractory Pediatric Glaucoma Patients

Cyclodestructive Procedures

One-Year Results of Semiconductor Transscleral Cyclophotocoagulation in Patients With Glaucoma

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