Ciliary ablation with diode laser. Long-term study
Pueyo, M.; Honrubia, F.M.; Sánchez, A.; Pablo, L.E.
Archivos de la Sociedad Espanola de Oftalmologia 76(3): 165-168
2001
ISSN/ISBN: 0365-6691 PMID: 11283782 Document Number: 539523
The effects of contact transscleral cyclophotocoagulation with diode laser for refractory glaucoma have been analyzed. A diode laser system was used to treat twenty one eyes with refractory glaucoma. The mean follow-up was 22.24+/-9.89 months. All the eyes were treated with 15 laser spots placed over 270 degrees, 1 mm posterior to the limbus, using 3.0 J (1.0 W X 3.0 sg). The mean preoperative intraocular pressure was 40.95+/-11.76 mmHg and the mean intraocular pressure at the end of the follow-up was 24.28+/-7.80 mmHg (p<0.5). An intraocular pressure below 21 mmHg was obtained in 10 out the 13 eyes (76.92%). Six of the 8 painful eyes had pain relief (75.00%). The principal complications included a decreased visual acuity in 5 eyes and chronic uveitis in 2 patients. These results suggest that semiconductor diode transscleral cyclophotocoagulation can be used successfully to reduce intraocular pressure in the treatment of refractory glaucoma.