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Updated: May 13, 2026

Ultrasound Cyclo Plasty in Eyes with Glaucoma
05:05

Ultrasound Cyclo Plasty in Eyes with Glaucoma

Published on: January 26, 2018

Previous cyclodestruction is a risk factor for late-onset hypotony and suprachoroidal haemorrhage after glaucoma

André Rosentreter1, Stergiani Gaki, Alexandra Lappas

  • 1Center of Ophthalmology, University of Cologne, Joseph-Stelzmann-Strasse 9, Cologne, Germany. andre.rosentreter@googlemail.com

The British Journal of Ophthalmology
|March 23, 2013
PubMed

Insights

Previous cyclodestructive procedures increase risks for glaucoma drainage device (GDD) surgery patients, leading to higher rates of suprachoroidal hemorrhage and late-onset hypotony. Further research is needed to confirm these findings.

Area of Science:

  • Ophthalmology
  • Glaucoma Surgery
  • Surgical Outcomes

Background:

  • Glaucoma drainage device (GDD) surgery is a common treatment for refractory glaucoma.
  • Previous cyclodestructive procedures are sometimes performed to lower intraocular pressure (IOP) before GDD implantation.
  • The impact of prior cyclodestructive interventions on GDD surgery outcomes is not fully understood.

Purpose of the Study:

  • To evaluate the influence of previous cyclodestructive procedures on the outcomes of glaucoma drainage device (GDD) surgery.
  • To compare intraocular pressure (IOP), medication requirements, and complication rates between patients with and without prior cyclodestructive surgery.

Main Methods:

  • Retrospective analysis of 110 patients undergoing GDD surgery (Baerveldt implants).
  • Patients were divided into two groups: those with prior cyclodestructive surgery (n=47) and those without (n=63).
  • Data collected included preoperative and postoperative IOP, medication score, visual acuity, and surgical complications.

Main Results:

  • Patients with prior cyclodestructive surgery had a higher incidence of suprachoroidal hemorrhage (12.8% vs 0%, p=0.01).
  • Late-onset hypotony (>6 weeks post-op) was significantly more frequent in the prior cyclodestructive surgery group (19.1% vs 4.8%, p=0.03).
  • No significant difference in mean preoperative IOP or medication score was observed between groups.

Conclusions:

  • Previous cyclodestructive procedures appear to be a significant risk factor for suprachoroidal hemorrhage following GDD surgery.
  • A history of cyclodestructive interventions may also increase the risk of late-onset hypotony after GDD implantation.
  • These findings suggest careful consideration of prior surgical history when planning GDD surgery.
Abstract

Keywords:
Aqueous humourGlaucomaIntraocular pressureTreatment LasersTreatment Surgery

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