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Updated: Jul 19, 2026
05:05
Ultrasound Cyclo Plasty in Eyes with Glaucoma
Published on: January 26, 2018
[Diode laser in "Malignant Glaucoma" treatment]
H Bresson Dumont1, L Ballereau, A Lehoux
1Clinique Sourdille, 8 rue Camille Flammarion, 44000 Nantes. hbressondumont@free.fr
Journal Francais D'Ophtalmologie
|October 31, 2006
Summary
Diode laser cyclodestruction effectively treated refractory malignant glaucoma in seven women, lowering intraocular pressure and deepening the anterior chamber. This treatment offers a new option for managing this severe complication of ocular surgery.
Area of Science:
- Ophthalmology
- Glaucoma Research
- Surgical Complications
Context:
- Malignant glaucoma is a severe complication following various ocular surgeries.
- It is characterized by shallow anterior chamber and high intraocular pressure (IOP).
- Existing treatments often fail, necessitating alternative therapeutic strategies.
Purpose:
- To evaluate diode laser cyclodestruction as an adjunctive therapy for refractory malignant glaucoma.
- To assess the efficacy and safety of this treatment modality in patients with persistent high IOP and shallow anterior chambers.
Summary:
- Seven women with refractory malignant glaucoma underwent diode laser cyclodestruction.
- The procedure involved 22 burns around 270 degrees for glaucomatous eyes.
- Significant reduction in IOP (mean 35%) and medication requirements (64%) was observed, with an average final IOP of 13.2 mmHg.
- Anterior chamber deepening and cessation of cycloplegic topical treatment in 70% of cases were noted.
Impact:
- Diode laser cyclodestruction demonstrates potential in resolving refractory malignant glaucoma.
- This minimally invasive approach offers a viable treatment option for complex glaucoma cases.
- Further research, including larger Ultrasound Biomicroscopy (UBM) studies, is recommended to elucidate the mechanisms of malignant glaucoma.
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