Diode laser trans-scleral cyclo-ablation as a primary surgical treatment for primary open angle glaucoma after maximum tolerated medical therapy

Poster Details

First Author: K.Mahmood PAKISTAN

Co Author(s):                  

Abstract Details

Purpose:

The purpose of this study was to determine the role of Diode Laser Trans-scleral Cycloablation as a primary surgical treatment option in Primary Open Angle Glaucoma after maximum tolerated medical therapy.

Setting:

Glaucoma free paper submission

Methods:

. Sixty patients fulfilling the inclusion criteria were selected from the Glaucoma unit for this study. 14-18 burns of Diode Laser were applied to 180 degrees avoiding 3 and 9 o clock positions, 1.5 mm posterior to the limbus. Laser was set at duration of 1 second and power between 1000 and 1500 mw. Patients were followed up for a period of one year.

Results:

: Out of a total of 60 eyes with mean age 52.73 ± 7.40 years, 36 (60 %) were male and 24 (40 %) were female. The mean pre-operative Intra Ocular Pressure IOP was 41.0 ± 7.0 mmHg (The pre-operative IOP ranged from 28 mmHg to 60 mmHg). The mean post-operative IOP was 18.97 mmHg on day one, 16.75 mmHg at 1 week, 15.68 mmHg at 1 month, 15.00 mmHg at 6 months & by the end of a year it was about 14.15 mmHg (The post-operative IOP ranged from 6 mmHg to 52 mmHg). There was a significant drop of more than 50% of post-operative IOP as compared to pre-operative IOP.

Conclusions:

Diode Laser Trans-scleral Cycloablation is a practical, rapid, well-tolerated procedure that provides a significant lowering of intraocular pressure with few complications and can considered as alternative treatment in POAG if medical therapy fails. FINANCIAL DISCLOSURE?: No