LONG-TERM OUTCOMES OF DIODE LASER CYCLOPHOTOCOAGULATION FOR SEVERE GLAUCOMA

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FARVARDIN MOHSEN; RAHIMI M.; FARVARDIN MAJID; DEHGHAN A.

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Journal: BINA Year:2003 | Volume:8 | Issue:3 (31) Page(s): 214-219

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Title

LONG-TERM OUTCOMES OF DIODE LASER CYCLOPHOTOCOAGULATION FOR SEVERE GLAUCOMA

Author(s)

FARVARDIN MOHSEN | RAHIMI M. | FARVARDIN MAJID | DEHGHAN A. | Issue Writer Certificate

Keywords

GLAUCOMAQ3

DIODE LASERQ3

CYCLOPHOTOCOAGULATIONQ3

Abstract

Purpose: To evaluate the long-term outcome and complications of initial ciliary ablation with trans-scleral DIODE LASER CYCLOPHOTOCOAGULATION in the management of severe refractory GLAUCOMA's.Methods: We used DIODE LASER to perform trans-scleral contact CYCLOPHOTOCOAGULATIONin 50 patients with medically and surgically uncontrollable GLAUCOMA's and no previous ciliary ablation. Pre and postoperative information was registered and patients were followed for 6 months. We delivered laser energy through a 600 µm diameter quartz fiber probe especially designed for ciliary ablation (G-probe). About 17 to 19circumlimballaser applications (power 1500 -2000 m W, duration 2 sec) over 270o were given. Results: The patients inclded 56% male and 44% females with a mean age of 49 years (12-94 years). Causes of refractory GLAUCOMA in these patients were aphakic GLAUCOMA (32%), absolute GLAUCOMA (14%), post corneal graft (14%), congenital GLAUCOMA (12%), neovascular GLAUCOMA (8%), post corneoscleral laceration repair (8%), post deep vitrectomy (8%), ghost cell GLAUCOMA (2%), and microphthalmia (2%). Twenty-eight percent had previous filtering surgery, 66% were aphakic, and 65% had ocular surgery other than GLAUCOMA or cataract surgery. The mean preoperative IOP was 34.72± 6.48mmHg,andmean IOP six months after TSCPC was 20.80+12.79 mmHg, which shows 40% reduction (p= 0.001). The mean number of GLAUCOMA medications decreased from 2.72 preoperatively to 1.27post operatively which showed 46% reduction (p= 0.001). Conclusion: The results suggested that trans-scleral DIODE LASER CYCLOPHOTOCOAGULATION may be a useful procedure to reduce IOP and the number of medications needed in refractory GLAUCOMAs.

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APA: Copy

FARVARDIN, MOHSEN, RAHIMI, M., FARVARDIN, MAJID, & DEHGHAN, A.. (2003). LONG-TERM OUTCOMES OF DIODE LASER CYCLOPHOTOCOAGULATION FOR SEVERE GLAUCOMA. BINA, 8(3 (31)), 214-219. SID. https://sid.ir/paper/42673/en

Vancouver: Copy

FARVARDIN MOHSEN, RAHIMI M., FARVARDIN MAJID, DEHGHAN A.. LONG-TERM OUTCOMES OF DIODE LASER CYCLOPHOTOCOAGULATION FOR SEVERE GLAUCOMA. BINA[Internet]. 2003;8(3 (31)):214-219. Available from: https://sid.ir/paper/42673/en

IEEE: Copy

MOHSEN FARVARDIN, M. RAHIMI, MAJID FARVARDIN, and A. DEHGHAN, “LONG-TERM OUTCOMES OF DIODE LASER CYCLOPHOTOCOAGULATION FOR SEVERE GLAUCOMA,” BINA, vol. 8, no. 3 (31), pp. 214–219, 2003, [Online]. Available: https://sid.ir/paper/42673/en

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