Evaluation of the efficacy of diode laser endocyclophotocoagulation combined with cataract surgery in glaucoma

Journal français d'ophtalmologie
S M Ezzouhairi

Abstract

Surgical techniques, which reduce the secretion of aqueous humor are underutilized in the surgical management of glaucoma; the diode laser coupled to an endoscope, endocyclophotocoagulation (ECP), is an emerging technology in the treatment of glaucoma. Indeed, thanks to its direct, focal and controllable approach to diode laser treatment of the ciliary processes, ECP renders this a safer technique compared to transscleral diode laser. We present preliminary results and an evaluation of the efficacy of ECP combined with cataract surgery performed at the Al Bassar clinic in Mohammedia, Morocco. We conducted a retrospective study on a series of 82 patients who underwent combined surgery: diode laser endocyclophotocoagulation and cataract for treatment of glaucoma during the period from December 2012 to July 2013. For this study, we recorded: age and gender of the patients, number and power of diode laser spots, pre- and postoperative intraocular pressure (IOP), and the number of anti-glaucoma treatments prescribed pre- and postoperatively (3 months minimum). Technically, a 20-gauge endo-ocular probe is inserted through the corneal incision used for phacoemulsification. The probe is equipped with a light source, a camera and a puls...Continue Reading

References

Jan 1, 1991·Lasers in Surgery and Medicine·A VogelR Birngruber
May 1, 1994·Archives of Ophthalmology·H A QuigleyD Gilbert
Dec 24, 1997·American Journal of Ophthalmology·J ChenJ A Alvarado
Sep 7, 1999·Journal of Cataract and Refractive Surgery·J L GaytonV Sanders
Mar 27, 2002·The British Journal of Ophthalmology·P A McKelvie, M J Walland
Sep 18, 2007·Journal of Glaucoma·Malik Y KahookRobert J Noecker

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Citations

Apr 2, 2018·Journal of Cataract and Refractive Surgery·Niranjan ManoharanLeonard K Seibold

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