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Micropulsed diode laser cyclophotocoagulation in recurrent pediatric glaucoma.
Eman M Elhefney1, Tharwat H Mokbel1, Sherein M Hagras1
1Ophthalmology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
European Journal of Ophthalmology
|July 2, 2019
Summary
Micropulsed diode laser cyclophotocoagulation effectively reduced intraocular pressure in children with recurrent glaucoma. This safe procedure demonstrated relative effectiveness in managing pediatric glaucoma over 15 months.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Glaucoma Research
Background:
- Recurrent pediatric glaucoma presents significant management challenges.
- Effective and safe treatment options are crucial for preserving vision in affected children.
Purpose of the Study:
- To assess the intermediate-term efficacy and safety of micropulsed diode laser cyclophotocoagulation.
- To evaluate its impact on intraocular pressure and complications in pediatric glaucoma.
Main Methods:
- A prospective interventional study included children under 16 with recurrent glaucoma.
- Micropulsed diode laser sessions were administered, with intraocular pressure reduction as the primary outcome.
- Follow-up averaged 15 months, monitoring complications.
Main Results:
- Significant intraocular pressure reduction from 37.5 mmHg to 20.03 mmHg (p < 0.001) at 15 months.
- Mean glaucoma medications decreased from 2.6 to 1.7 (p < 0.001).
- Qualified success was 61% at 15 months with no major ocular complications.
Conclusions:
- Micropulsed diode laser cyclophotocoagulation is a safe treatment for recurrent pediatric glaucoma.
- The procedure shows relative effectiveness in controlling intraocular pressure in this population.
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