Micropulse Transscleral Cyclophotocoagulation: A Look at Long-Term Effectiveness and Outcomes.

Ophthalmology. Glaucoma
Soshian SarrafpourNathan M Radcliffe

Abstract

To investigate the long-term effectiveness of intraocular pressure (IOP) and medication reduction in patients who have undergone micropulse transscleral cyclophotocoagulation (mTS-CPC). Retrospective chart review. A total of 73 eyes of 62 patients treated no more than 1 time with mTS-CPC in a practice in New York City with at least 1 year of follow-up. Treatment was 100 seconds of mTS-CPC with energy titrated on the basis of visual acuity. Paired t test and multivariable analysis were performed with SAS (SAS Institute Inc, Cary, NC). Visual acuity, IOP, medication burden, phthisis, and development of macular edema were followed. Average initial IOP was 25.5±9.4, and average number of initial medications was 3.1±1.1. At 1 year, average IOP was 13.8±7.0 (46% reduction) and average number of medications was 2.5±1.0 (19% reduction). A total of 11 of 15 patients (73.3%) initially taking an oral carbonic anhydrase inhibitor before CPC did not require the oral carbonic anhydrase inhibitor 1 year after treatment. Seventy-six percent of patients obtained at least 20% IOP reduction. Multivariate analysis found IOP reduction was associated with power used and preoperative IOP, whereas medication reduction was associated with initial medic...Continue Reading

Citations

Dec 5, 2019·Lasers in Medical Science·Leopoldo MagachoMarcos P Ávila
May 28, 2020·Journal of Glaucoma·Ronald M P C de CromHenny J M Beckers
Jan 16, 2020·Lasers in Medical Science·Maria Alexandra PredaHoria T Stanca
May 14, 2020·Journal of Glaucoma·Facundo G SanchezTomas M Grippo
Nov 12, 2020·Ophthalmology. Glaucoma·Darana YuenSohel Somani
Feb 13, 2021·Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie·Michael MarchandYounes Agoumi
Aug 17, 2021·Journal of Current Glaucoma Practice·Youssef AbdelmassihZiad Khoueir
Jul 6, 2021·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Oya Tekeli, Helin Ceren Köse
Oct 11, 2021·Journal of Glaucoma·Alka PandeySanjay Chaudhary

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