Abstract
The post-operative course of intraocular pressure (IOP) after transscleral Nd:YAG laser cyclophotocoagulation (TSYLC) in refractory glaucoma was studied using the life-table method and retrospectively compared with that of cyclocryotherapy. In all, 36 eyes of 36 patients who underwent TSYLC for the first time and 80 eyes of 75 patients who underwent cyclocryotherapy for the first time were included in the present study. The follow-up averaged 9.2 months (range, 1–21 months) in the TSYLC-treated group and 21 months (range, 2–71 months) in patients receiving cyclocryotherapy. In patients with a preoperative visual acuity of ≥ 0.01, the successful control of IOP was represented by a value of <21 mmHg that was obtained without additional medication, and that in patients who had a visual acuity of <0.01 was represented by a decrease in IOP of at least 25%, also obtained without additional medication. The success rate of the TSYLC-treated group at 21 months after treatment was 45.2% ± 11.7%, whereas that of the group receiving cyclocryotherapy was 38.9% ± 6.1%. The difference between these success rates was not statistically significant (P>0.05). Complications such as phthisis bulbi, hypotony, hemorrhage in the anterior chamber or swelling of the eyelids were less frequent in the TSYLC-treated group than in the group given cyclocryotherapy. TSYLC is thought to be as effective as cyclocryotherapy in lowering 10P, but with fewer complications.
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References
Beckman H, Sugar HS (1983) Neodymium laser cyclophotocoagulation. Arch Ophthalmol 90:27–28
Bietti G (1950) Surgical intervention of the ciliary body. JAMA 142:889–897
Branch Vein Occlusion Study Group (1984) Argon laser photocoagulation for macular edema in branch vein occlusion. Am J Ophthalmol 98:271–282
Cantor LB, Nichols DA, Katz LJ, Marlene RM, Poryyzes E, Shields JA, Spaeth GL (1989) Neodymium-YAG transscleral cyclophotocoagulation: the role of pigmentation. Invest Ophthalmol Vis Sci 30:1834–1837
Caprioli J, Strang SL, Spaeth GL, Poryzee EH (1984) Cyclocryotherapy in the treatment of advanced glaucoma. Ophthalmology 92:947–954
Devenyi RG, Trope GE, Hunter WH, Badeeb O (1987) Neodymium: YAG transsceral cyclocoagulation in human eyes. Ophthalmology 4:1519–1522
England C, Zypen E van der, Fankhauser F, Kwasniewska S (1986) Ultrastructure of the rabbit ciliary body following transscleral cyclophotocoagulation with the free-running Nd:YAG laser: preliminary findings. Lasers Ophthalmol 1:61–72
Feibel RM, Bigger JF (1972) Rubeosis iridis and neovascular glaucoma. Evaluation of cyclocryotherapy. Am J Ophthalmol 74:862–867
Ferry AP (1987) Histopathologic observations on human eyes following cyclocryotherapy for glaucoma. Trans Am Acad Ophthalmol Otolaryngol 83:90–113
Howard GM, Roetth A de (1971) Histopathologic changes following cryosurgery of the rabbit ciliary body. Am J Ophthalmol 64:700–707
Inaba Z (1982) Long-term results of trabeculectomy in the Japanese: an analysis by life-table method. Jpn J Ophthalmol 26:361–373
Klapper RM, Wandel T, Donnenfeld E, Perry HD (1988) Transscleral neodymium: YAG thermal cyclophotocoagulation in refractory glaucoma. Ophthalmology 95:719–722
Krupin T, Mitchell KB, Becker B (1978) Cyclocryotherapy in neovascular glaucoma. Am J Ophthalmol 86:24–26
Prost M (1983) Cyclocryotherapy for glaucoma. Evaluation of techniques. Surv Ophthalmol 28:93–100
Quigley HA (1976) Histological and physiological studies of cyclocryotherapy in primate and human eyes. Am J Ophthalmol 82:722–732
Schwartz LW, Moster MR (1986) Neodymium: YAG laser transscleral cyclodiathermy. Ophthalmic Laser Ther 1:135–141
Smith RS, Boyle E, Rudt LA (1977) Cyclocryotherapy. A light and electron microscopic study. Arch Ophthalmol 95:284–288
Tominaga S (1982) Practical statistics for evaluation of therapeutic effect: the life-table analysis. Kanishobo, Tokyo
Wilensky JT, Welch D, Mirolovich M (1985) Transscleral cyclocoagulation using a neodymium: YAG laser. Ophthalmic Surg 16:95–98
Yumita A, Nanba H (1987) Transscleral Nd laser cyclophotocoagulation. Jpn Rev Clin Ophthalmol 81:2053–2057
Zypen E van der, England C, Fankhauser H, Kwasniewka S (1989) The effect of transscleral laser cyclophotocoagulation on rabbit ciliary body vascularization. Graefe's Arch Clin Exp Ophthalmol 227:172–179
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Suzuki, Y., Araie, M., Yumita, A. et al. Transscleral Nd: YAG laser cyclophotocoagulation versus cyclocryotherapy. Graefe's Arch Clin Exp Ophthalmol 229, 33–36 (1991). https://doi.org/10.1007/BF00172258
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DOI: https://doi.org/10.1007/BF00172258