Diode laser transscleral cyclophotocoagulation followed by phacotrabeculectomy on medically unresponsive acute primary angle closure eyes: the long-term result

Wei Liu,Linni Wang,Jian Ji,Yingjuan Lv,Xiaoli Xing,Aihua Liu,Yanhui Chen

doi:10.1186/1471-2415-14-26

Abstract

BackgroundTo explore the intraocular pressure-lowering effect and complications of diode laser transscleral cyclophotocoagulation (DLTSC) followed by phacotrabeculectomy on medically unresponsive acute primary angle closure eyes.MethodsNine eyes of nine medically unresponsive acute primary angle closure patients were enrolled. All the patients underwent cyclophotocoagulation followed by phacotrabeculectomy to control the prolonged acute attack. Data were recorded prospectively and then analyzed retrospectively. The reduction in intraocular pressure, improvement of vision and the complications were evaluated.ResultsAfter DLTSC, the IOP of all the patients were reduced, but all were above 21 mmHg under topical anti-glaucoma medications. After phacotrabeculectomy, the IOP of all the patients was decreased. At the final visit, the vision of all the patients was improved and the IOP of all the patients was below 21 mmHg without anti-glaucoma medications. There were no complications during the DLTSC and phacotrabeculectomy. Uveitis was the common complications after the both procedures, which were resolved by medication treatment.ConclusionDiode laser transscleral cyclophotocoagulation followed by phacotrabeculectomy is an alternative procedure to control the intraocular pressure of medically unresponsive acute primary angle closure eyes with few complications.

Highlights

To explore the intraocular pressure-lowering effect and complications of diode laser transscleral cyclophotocoagulation (DLTSC) followed by phacotrabeculectomy on medically unresponsive acute primary angle closure eyes
We aimed to explore the safety and efficacy of DLTSC followed by phacotrabeculectomy on Chinese medically unresponsive Acute primary angle closure (APAC) eyes
Patients Consecutive medically unresponsive APAC patients accepted DLTSC followed by phacotrabeculectomy from November 2008 to October 2010 were included in this study

Summary

Introduction

To explore the intraocular pressure-lowering effect and complications of diode laser transscleral cyclophotocoagulation (DLTSC) followed by phacotrabeculectomy on medically unresponsive acute primary angle closure eyes. Acute primary angle closure (APAC) is a common ophthalmic emergency that requires early treatment. Diode laser transscleral cyclophotocoagulation (DLTSC), initially reserved for eyes with refractory glaucoma and limited visual prognosis, is being used more widely, even as primary surgical treatment in glaucoma therapy, including primary open-angle and pseudoexfoliative glaucoma [7,11], chronic angle closure glaucoma [12,13], and even eyes with good vision [14]. We aimed to explore the safety and efficacy of DLTSC followed by phacotrabeculectomy on Chinese medically unresponsive APAC eyes

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