Journal article
First and second transscleral cyclophotocoagulation treatments provide similar intraocular pressure-lowering efficacy in patients with refractory glaucoma
International ophthalmology, Vol.42(8), pp.2363-2369
08/01/2022
DOI: 10.1007/s10792-022-02234-4
PMCID: PMC9314293
PMID: 35113312
Abstract
Purpose The aim of this study is to address the safety and effectiveness of a second continuous-wave transscleral cyclophotocoagulation (CW-TSCPC) treatment by comparing its outcome against a first CW-TSCPC treatment in the same patients with refractory glaucoma. Methods Twenty-one eyes with either primary or secondary glaucoma received a second CW-TSCPC laser session >= 3 months after the first treatment. Intraocular pressure (IOP), best-corrected visual acuity (BCVA), and number of topical or oral ophthalmic pressure-reducing medications were registered at every time point up to the last follow-up at 3 months. A complete slit-lamp examination was conducted to record for complications or other abnormal ocular findings. Success was defined as IOP between 6 and 21 mmHg and > 20% reduction in IOP with or without anti-glaucoma medications. Results At 3 months follow-up of the first CW-TSCPC treatment, a 24.8% decrease in IOP was observed, whereas a 45.6% IOP decrease was observed 3 months post the second CW-TSCPC treatment. Visual acuity did not decrease, and no major complications were observed post either treatment within the follow-up period. Time to failure was 79.5 +/- 24.6 and 77.1 +/- 29.4, respectively (P = 0.955). No serious complications were observed. Conclusion A second CW-TSCPC treatment proved to be a safe and effective treatment option when the first CW-TSCPC treatment was insufficient in maintaining the desired IOP level for a prolonged time (mean time between both sessions 6.4 +/- 8.0 months).
Details
- Title: Subtitle
- First and second transscleral cyclophotocoagulation treatments provide similar intraocular pressure-lowering efficacy in patients with refractory glaucoma
- Creators
- Bernardi Enrico - University of ZurichToeteberg-Harms Marc - University of Zurich
- Resource Type
- Journal article
- Publication Details
- International ophthalmology, Vol.42(8), pp.2363-2369
- Publisher
- Springer Nature
- DOI
- 10.1007/s10792-022-02234-4
- PMID
- 35113312
- PMCID
- PMC9314293
- ISSN
- 0165-5701
- eISSN
- 1573-2630
- Number of pages
- 7
- Grant note
- University of Zurich
- Language
- English
- Date published
- 08/01/2022
- Academic Unit
- Ophthalmology and Visual Sciences
- Record Identifier
- 9984696566902771
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