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ORIGINAL ARTICLE
Year : 2000  |  Volume : 48  |  Issue : 4  |  Page : 295-300

Contact trans-scleral laser cyclophotocoagulation treatment for refractory glaucomas in the Indian population


Dr. Rajendra Prasad Centre for Ophthalmic Sciences, New Delhi, India

Correspondence Address:
V Gupta
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, New Delhi
India
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Source of Support: None, Conflict of Interest: None


PMID: 11340888

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Purpose: This study aimed to evaluate the clinical efficacy of contact diode trans-scleral cyclophotocoagulation (TSCPC) for treatment of refractory glaucomas. Method: Fifty two eyes of 52 patients, (post-penetrating keratoplasty glaucoma: 16 eyes; adherent leucoma with secondary glaucoma: 8 eyes; aphakic glaucoma: 6 eyes; neovascular glaucoma: 6 eyes; narrow angle glaucoma: 6 eyes; and other secondary glaucomas: 10 eyes) were followed up from 3.5 -18 months (average 12 months) after TSCPC. The treatment parameters using the contact G probe were - energy: 3-4J; area: 40 spots spread over 360; site: 1.2-1.5 mm posterior to limbus. Retreatments (22 eyes; 42%) were given whenever intraocular pressure (IOP) exceeded 22 mmHg despite maximum tolerable topical therapy. Results: IOP decreased from a baseline of 44.7 ( 7.3) mmHg to 15 ( 3.7) mmHg at first week and was 15.2 (8.2) mmHg at the last follow up. Successful control of IOP (<22mmHg) occurred in 30 (58%) eyes after a single treatment and in 48 (92%) eyes following retreatment. Complications included reduction in visual acuity from light perception (LP) only to no light perception (NLP) in two eyes and phthisis bulbi in one eye. Conclusion: Contact trans-scleral diode laser cyclophotocoagulation is effective in lowering IOP in eyes with intractable glaucoma with few side effects in Indian subjects.


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