International Review of Ophthalmology ›› 2024, Vol. 48 ›› Issue (1): 15-19.doi: 10.3760/ cma.j.issn.1673-5803.2024.01.003
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Tao De1, Zhang Tiemin2, Su Yufang3, Yang Yajun3
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Abstract: This article summarizes 8 foreign research articles on the treatment of refractory glaucoma with transscleral cyclophotocoagulation with micropulse laser (MP-TSCPC). There were a total of 453 eyes with refractory glaucoma, including more than 33 eyes with pseudoexfoliative glaucoma, 43 eyes with chronic angle-closure glaucoma, more than 58 eyes with neovascular glaucoma, and more than 264 eyes with primary open-angle glaucoma. Most patients had previously undergone incisional glaucoma surgery or had a history of failed glaucoma surgery. Laser power was from 1.6 to 2 W. The duration of treatment lasts between 100 to 360 seconds, and the total energy used was within range of 62 to 225 J. Follow-up time was from 2 to 18 months, and the success rate was from 33.3% to 73.7%. The preoperative highest intraocular pressure (IOP) was (39.1±13.84) mmHg, and the postoperative lowest IOP was (11.1±4.4) mmHg. The maximum number of anti-glaucoma eyedrops used preoperatively was 4, while postoperatively it was reduced to a minimum of 1.5 eyedrops. Most postoperative complications were anterior chamber inflammatory reactions, with 2 cases of eyeball atrophy and 15 cases of hypotony being the most severe complications. The studies showed that MP-TSCPC can effectively reduce IOP in refractory glaucoma and is a new treatment modality for refractory glaucoma. (Int Rev Ophthalmol, 2024, 48: 15-19)
Key words: micropulse laser, transscleral cyclophotocoagulation, refractory glaucoma
Tao De, Zhang Tiemin, Su Yufang, Yang Yajun. Transscleral cyclophotocoagulation with micropulse laser for refractory glaucoma[J]. International Review of Ophthalmology, 2024, 48(1): 15-19.
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URL: http://www.j-bio.net/EN/10.3760/ cma.j.issn.1673-5803.2024.01.003
http://www.j-bio.net/EN/Y2024/V48/I1/15