High-intensity focused ultrasound in the treatment of glaucoma: a narrative review

Figus, Michele; Sartini, Francesco; Covello, Giuseppe; Posarelli, Chiara

doi:10.1080/17469899.2021.1902309

Cited by 1 publication

(9 citation statements)

References 75 publications

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“…The UCP procedures were performed by the same glaucoma surgeon (M.F.) with the EyeOP1 device (EyeTechCare, Rillieux-la-Pape, France) under peribulbar anesthesia 13…”

Section: Methodsmentioning

confidence: 99%

“…with the EyeOP1 device (EyeTechCare, Rillieux-la-Pape, France) under peribulbar anesthesia. 13 The procedure was conducted as follows. Firstly, the positioning cone was placed on the ocular surface in direct contact with the peri-limbal sclera without touching the cornea to focus the ultrasound beam directly on the ciliary body.…”

Section: Patientsmentioning

confidence: 99%

“…The second generation of UCP probes deliver ultrasound for 8 seconds per transducer, followed by a 20-second interval. 13 All patients were insonified in 8 sectors.…”

Section: Patientsmentioning

confidence: 99%

“…High-frequency ultrasound (21 MHz) elicits a well-controlled coagulation of the ciliary body epithelium without explosion and independent of cell pigmentation. 13 As per protocol, patients received a set combination of topical antibiotics and steroids (chloramphenicol/ dexamethasone) five times a day for 10 days after the procedure, and cycloplegic eyedrops (cyclopentolate) twice a day for 1 week.…”

Section: Patientsmentioning

confidence: 99%

“…Ultrasound cyclo plasty (UCP) using high-intensity focused ultrasound effectively reduces IOP through selective transscleral coagulation necrosis of the ciliary body epithelium and increases suprachoroidal and transscleral aqueous humor outflow 11. The new generation of probe seems to be easier to use, faster, and safer compared with previous models 12,13…”

mentioning

confidence: 99%

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Ultrasound Cyclo Plasty in Patients with Open Angle Glaucoma and High Myopia

Figus

Palma

Covello

et al. 2023

Journal of Glaucoma

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Précis: Ultrasound cyclo plasty (UCP) using high-intensity focused ultrasound is an effective and safe procedure in lowering intraocular pressure (IOP) in patients with glaucoma, even in those with high myopia.Purpose: This study aimed to evaluate the efficacy and safety of UCP in glaucoma patients with high myopia.Materials and Methods: In this retrospective, single-center study, we enrolled 36 eyes divided into 2 groups based on axial length: group A ( ≥ 26.00 mm) and group B (< 26.00 mm). We collected data about visual acuity, Goldmann applanation tonometry, biomicroscopy, and visual field before the procedure and at 1, 7, 30, 60, 90, 180, and 365 days after the procedure.Results: Mean IOP significantly decreased in both groups after treatment (P < 0.001). Mean IOP reduction from baseline to the last visit was 9.8 ± 6.6 mmHg (38.7%) in group A and 9.6 ± 6.3 mmHg (34.8%) in group B (P < 0.001). Mean IOP at the last visit was 15.8 ± 4.1 mmHg in the myopic group and 18.1 ± 5.6 mmHg in the non-myopic one. Regarding the number of IOP-lowering eyedrops being taken by our patients, statistically significant differences were found between groups A and B neither at baseline (2.8 ± 0.9 and 2.6 ± 1.0; P = 0.568) nor 1 year after the procedure (2.5 ± 1.1 and 2.6 ± 1.1; P = 0.762). No major complications occurred. All minor adverse events resolved within a few days. Conclusion:UCP seems to be an effective and well-tolerated strategy to lower IOP in glaucoma patients with high myopia.

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“…The UCP procedures were performed by the same glaucoma surgeon (M.F.) with the EyeOP1 device (EyeTechCare, Rillieux-la-Pape, France) under peribulbar anesthesia 13…”

Section: Methodsmentioning

confidence: 99%

Section: Patientsmentioning

confidence: 99%

“…The second generation of UCP probes deliver ultrasound for 8 seconds per transducer, followed by a 20-second interval. 13 All patients were insonified in 8 sectors.…”

Section: Patientsmentioning

confidence: 99%

Section: Patientsmentioning

confidence: 99%

mentioning

confidence: 99%

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