REDUCTION OF INTRAOCULAR PRESSURE POST MICRO PULSE TRANSSCLERAL CYCLOPHOTOCOAGULATION IN REFRACTORY GLAUCOMA PATIENTS Oral Presentation - Observational Study - Resident
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refractory glaucoma, laser cyclodestruction, micro-pulse, TSCPC
Abstract
Introduction & Objectives
Cyclodestructive laser is one of the last resource managements for refractory glaucoma, especially
with low visual potential. Conventional laser using CW-TSCPC showed unstable IOP reduction with
collateral tissue damage. MP-TSCPC using on and off cyclic waves is considered to have a good
degree of IOP reduction and fewer complications. The purpose of this study is to assess the IOP
reduction after the MP-TSCPC procedures for patients with refractory glaucoma.
Methods
This is a prospective observational study for refractory glaucoma patients treated with the MPTSCPC
laser procedure. Measurement of IOP was carried out preoperatively and on postoperative
days 1, 7, and 30 with the gold standard Goldmann applanation tonometry.
Results
A total of 33 eyes from 33 patients were enrolled in this study. The mean baseline IOP was 48.45 ±
12,79 mmHg. The mean degree of IOP reduction on follow-up days 1, 7, and 30 were 14.39 ±
23.52%, 45,83 ± 24,80 and 27.09 ± 23.86% respectively. On the 30th day after the laser treatment,
no complications were observed. The number of anti-glaucoma medication was reduced from 2.39 ±
0.49 at the baseline to 1.91 ± 0.58 at one month follow up.
Conclusion
Micro-pulse transscleral cyclophotocoagulation laser showed a good degree of IOP reduction with no
incidence of complication observed at day 30.
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Authors
Copyright (c) 2023 Annisa Rahayu, Elsa Gustianty, Andrew M.H Knoch, Maula Rifada, Sonie Umbara
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.