Abstract
Objective To evaluate the efficacy of cyclophotocoagulation under operating microscopy for the treatment of refractory glaucoma. Methods The clinical data of 31 eyes of 31 cases with refractory glaucoma from Jan. 2017 to Apr. 2018 in this hospital were analyzed retrospectively. All patients underwent cyclophotocoagulation under operating microscopy via pars plana. The follow-up time was 12 months at least. Results Preoperative intraocular pressure (IOP) was (34.8±8.5) mmHg (1 mmHg=0.133 kPa). Postoperative IOP at 1 day, 7 days, 1, 6 and 12 months were (18.5±6.3) mmHg, (17.1±3.7) mmHg, (16.4±2.7) mmHg, (16.2±2.9) mmHg and (16.2±3.2) mmHg, respectively. The difference were statistically significant between before and after operation (P=0.000). The success rate of surgery at the end of follow-up was 74.2%. Postoperative ultrasonic biomicroscopy showed the complete atrophy of ciliary body in the cyclophotocoagulation sites. Conclusion Cyclophotocoagulation under operating microscopy was effective and safe for the treatment of refractory glaucoma. Key words: Glaucoma, refractory; Cyclophotocoagulation, under operating microscopy
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