Posters

Vitrectomy and pars plans endoscopic cyclophotocoagulation in refractory glaucoma

Poster Details

First Author: E.Infantes Molina SPAIN

Co Author(s):    L. Riveira Villalobos   E. Lopez Mondejar   J. Zarco Tejada   M. Dominguez Fernandez   A. Arias Palomero   A. Nunez Sanchez     

Abstract Details

Purpose:

We propose a microincisional vitrectomy and pars plana endoscopic cyclophtocoagulation approach to treat refractary glaucoma.

Setting:

La Mancha Centro Hospital

Methods:

We perform this surgical technique in 9 eyes of 9 patients with refractary glaucoma (Rieger syndrome, neovascular glaucoma, refractary glaucoma). All cases were pseudophakic prior to surgery, otherwise we associated cataract surgery in the same procedure. In all patients a pars plana vitrectomy (al least of the central vitreous) was performed prior to the endoscopic cyclophotocoagulation. To introduce the 19G endoscopic probe it was necessary to enlarge the 25 or 23G microsclerotomy. At the first attempt, 270º of the ciliary body were treated.

Results:

Intraocular pressure was controlled in 55% of patients with only one treatment; 33% required a second treatment and 12% needed four treatment. None vitreoretinal complications have been described until now. In these procedures it is necessary the collaboration between glaucoma and retina surgeons.

Conclusions:

Pars plana endoscopic cyclophotocoagulation associated to pars plana vitrectomy allows us to reach the entire ciliary body maintaining stable the intraocular pressure and enabling us a better access to this hidden anatomical site.

Financial Disclosure:

None