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KMID : 0360220200610040367
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Journal of the Korean Ophthalmological Society
2020 Volume.61 No. 4 p.367 ~ p.375
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Short-term Clinical Outcomes of Micropulse Transscleral Cyclophotocoagulation in Refractory Glaucoma Patients
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Suh Jae-Shin
Yoo Young-Cheol
Chung Jae-Keun
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Abstract
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Purpose: We evaluated the efficacy and safety of micropulse transscleral cyclophotocoagulation (MP-TSCPC) in refractory glaucoma patients.
Methods: A retrospective chart review was performed for 23 eyes of 23 patients with refractory glaucoma who were followed for 6 months after MP-TSCPC.
Results: The mean preoperative intraocular pressure (IOP) was 39.3 ± 15.8 mmHg and the mean number of antiglaucoma medications was 2.6 ± 0.6. Both significantly decreased at 6 months to 23.8 ± 15.4 mmHg (p = 0.002) and 1.8 ± 1.1 (p = 0.018).
Surgical success was defined as a postoperative IOP decrease from 6-21 mmHg or more than 20% reduction from baseline. The success rate was 65.2% at 6 months. Complications of MP-TSCPC included subconjunctival hemorrhage in 6 eyes (26.1%), ocular pain in 16 eyes (69.6%), anterior chamber inflammation in 17 eyes (73.9%), and hypotony in 2 eyes (8.7%).
Conclusions: MP-TSCPC in patients with refractory glaucoma showed a reduction in IOP and the number of antiglaucoma medications in the short-term. However, additional studies are needed to determine the optimal laser settings for maximum efficacy and safety.
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KEYWORD
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Intraocular pressure, Micropulse transscleral cyclophotocoagulation, Refractory glaucoma
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