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Ultrasound Cyclo Plasty in Eyes with Glaucoma
05:05

Ultrasound Cyclo Plasty in Eyes with Glaucoma

Published on: January 26, 2018

Endocyclophotocoagulation for management of difficult pediatric glaucomas

D E Neely1, D A Plager

  • 1Department of Ophthalmology, Indiana University School of Medicine, Riley Hospital for Children, Indianapolis, Indiana 46202, USA. deneely@iupui.edu

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
|August 17, 2001
PubMed

Insights

Endoscopic diode laser cyclophotocoagulation offers moderate efficacy for pediatric glaucoma. However, aphakic patients face higher risks of serious complications like retinal detachment after this glaucoma surgery.

Area of Science:

  • Ophthalmology
  • Surgical Innovation
  • Pediatric Glaucoma Management

Background:

  • Limited experience exists with endoscopic diode laser cyclophotocoagulation.
  • This study evaluates the efficacy and safety of this glaucoma surgery in pediatric patients.

Purpose of the Study:

  • To assess the effectiveness of endoscopic diode laser cyclophotocoagulation in managing pediatric glaucoma.
  • To determine the safety profile and identify potential complications associated with this procedure in children.

Main Methods:

  • Retrospective review of 51 procedures on 36 eyes of 29 pediatric glaucoma patients over 6 years.
  • Utilized the Microprobe integrated laser endoscope system.
  • Success defined as postoperative intraocular pressure ≤21 mm Hg; minimum 6-month follow-up.

Main Results:

  • Reduced intraocular pressure by 30% (from 35.06 to 23.63 mm Hg) after an average of 1.42 procedures.
  • Initial and cumulative success rates were 34% and 43%, respectively.
  • Complications (retinal detachment, hypotony, vision loss) occurred in 4 aphakic patients.

Conclusions:

  • Endoscopic diode laser cyclophotocoagulation is moderately effective for difficult pediatric glaucomas.
  • Aphakic pediatric patients may have an elevated risk of severe postoperative complications, including retinal detachment.
Abstract

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