Posters

Ab interno canaloplasty and endoscopic cyclophotocoagulation in different types of advanced glaucomas: a clinical study

Poster Details

First Author: J.Izquierdo PERU

Co Author(s):    N. Agudelo   B. Rubio   J. Camargo              

Abstract Details

Purpose:

To introduce a combined surgical treatment and report the clinical efficacy, safety and short term follow-up of ab interno canaloplasty (ABIC) and endoscopic cyclophotocoagulation (ECP) in different types of glaucomas.

Setting:

Trabeculectomy is the gold standard surgical procedure when maximal tolerated medical therapy fails to control IOP in open angle glaucoma. It has been shown to be an effective procedure to reduce IOP with major safety concerns.

Methods:

Single center, retrospective, noncomparative, interventional case series. Two patients with juvenil glaucoma, one with pseudfoexfoliative glaucoma and four with open angle glaucoma who underwent combined ABIC and ECP. The outcomes of preoperative and postoperative intraocular pressure, glaucoma medications and complications were described.

Results:

A total of 7 eyes where surgically treated. Mean follow up was 6 months. Mean preoperative IOP was 32.4±12.2 mmHg, postoperatively were 15,9±7.8, 11,57±1,9 mmHg at 1, 3 and 6 months respectively.  Mean BCVA was 0.95 logMAR preoperative and 0.70 logMAR at 6 months after surgery (range, 0 to 2,3 logMAR). Glaucoma medication was reduced significantly. There was a 81% reduction in glaucoma medications. Seven patients presented IOP spikes,  3 patients microhyphema and 1 patient pupillary membrane.

Conclusions:

In patients with refractory advanced glaucoma, combination of ABIC and ECP maybe be consider when lower target intraocular pressure is needed. At 6 months follow-up reduction in IOP remain stable and glaucoma medication was significantly reduced.

Financial Disclosure:

None