Slow coagulation versus micropulse transscleral cyclophotocoagulation for refractory childhood glaucoma
PURPOSE: To compare the safety and efficacy of micropulse laser (MP-TSCP) and slow coagulation transscleral cyclophotocoagulation (TSCP) with a diode laser for reducing intraocular pressure (IOP) in patients with refractory childhood glaucoma (CG).
METHODS: Patients with CG and at least 12 months of medical chart data were included. Data on preoperative and postoperative outcomes were analyzed. The primary outcomes were an IOP of 6-21 mmHg and/or ≥ 20% reduction in the baseline value.
RESULTS: A total of 17 eyes were included. The preoperative mean IOP was 28 mmHg in the MP-TSCP and 29.9 mmHg in the TSCP. The mean IOP decreased significantly to 17.26 ± 3.27 mmHg in the MP-TSCP and 14.68 ± 5.79 mmHg TSCP at the last medical record. Three anti-glaucoma meds were administered to the eyes preoperatively in both groups. A mean of 1.02 eye drops was administered to the MP-TSCP and 2.06 to the TSCP. The number of medications decreased by 2.38 ± 1.55 in the MP-TSCP and 0.82 ± 1.68 in the TSCP. The median preoperative visual acuity (logMAR) was 1.51 ± 1.06 in the MP-TSCP and 1.87 ± 0.74 in the TSCP. The variation in mean visual acuity (logMAR) was -0.027 ± 0.05 in the MP-TSCP and -0.40 ± 0.58 in the TSCP. The most frequent complication was corneal decompensation (one - MP-TSCP and two - TSCP).
CONCLUSION: Both techniques were effective and relatively safe for reducing IOP. These techniques appear to extend the indications of cyclophotocoagulation in CG eyes and improve the functional prognosis.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2024 |
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| Enthalten in: |
European journal of ophthalmology - (2024) vom: 29. Feb., Seite 11206721241236920 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Seixas, Regina Cele Silveira [VerfasserIn] |
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| Links: |
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| Themen: |
Childhood glaucoma |
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| Anmerkungen: |
Date Revised 01.03.2024 published: Print-Electronic Citation Status Publisher |
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| doi: |
10.1177/11206721241236920 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM369151194 |
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| 245 | 1 | 0 | |a Slow coagulation versus micropulse transscleral cyclophotocoagulation for refractory childhood glaucoma |
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| 500 | |a Date Revised 01.03.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status Publisher | ||
| 520 | |a PURPOSE: To compare the safety and efficacy of micropulse laser (MP-TSCP) and slow coagulation transscleral cyclophotocoagulation (TSCP) with a diode laser for reducing intraocular pressure (IOP) in patients with refractory childhood glaucoma (CG) | ||
| 520 | |a METHODS: Patients with CG and at least 12 months of medical chart data were included. Data on preoperative and postoperative outcomes were analyzed. The primary outcomes were an IOP of 6-21 mmHg and/or ≥ 20% reduction in the baseline value | ||
| 520 | |a RESULTS: A total of 17 eyes were included. The preoperative mean IOP was 28 mmHg in the MP-TSCP and 29.9 mmHg in the TSCP. The mean IOP decreased significantly to 17.26 ± 3.27 mmHg in the MP-TSCP and 14.68 ± 5.79 mmHg TSCP at the last medical record. Three anti-glaucoma meds were administered to the eyes preoperatively in both groups. A mean of 1.02 eye drops was administered to the MP-TSCP and 2.06 to the TSCP. The number of medications decreased by 2.38 ± 1.55 in the MP-TSCP and 0.82 ± 1.68 in the TSCP. The median preoperative visual acuity (logMAR) was 1.51 ± 1.06 in the MP-TSCP and 1.87 ± 0.74 in the TSCP. The variation in mean visual acuity (logMAR) was -0.027 ± 0.05 in the MP-TSCP and -0.40 ± 0.58 in the TSCP. The most frequent complication was corneal decompensation (one - MP-TSCP and two - TSCP) | ||
| 520 | |a CONCLUSION: Both techniques were effective and relatively safe for reducing IOP. These techniques appear to extend the indications of cyclophotocoagulation in CG eyes and improve the functional prognosis | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Childhood glaucoma | |
| 650 | 4 | |a childhood glaucoma procedures | |
| 650 | 4 | |a ciliary body ablation procedures. | |
| 650 | 4 | |a glaucoma medical therapies | |
| 650 | 4 | |a laser surgery | |
| 700 | 1 | |a Russ, Heloisa Helena Abil |e verfasserin |4 aut | |
| 700 | 1 | |a Maestrini, Heloisa Andrade |e verfasserin |4 aut | |
| 700 | 1 | |a Balbino, Marcos |e verfasserin |4 aut | |
| 700 | 1 | |a Fernandes, Thatiana Almeida Pereira |e verfasserin |4 aut | |
| 700 | 1 | |a Lima, Núbia Vanessa Dos Anjos |e verfasserin |4 aut | |
| 700 | 1 | |a Lopes, Nara Lídia Vieira |e verfasserin |4 aut | |
| 700 | 1 | |a Neto, Taurino Dos Santos Rodrigues |e verfasserin |4 aut | |
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