gms | German Medical Science

Objective: To compare the efficacy and safety of transcleral laser cyclophotocoagulation in micropulse mode and combined cyclophotocoagulation technique in the treatment of terminal refractory glaucoma.

Materials and methods: 64 patients (64 eyes) with terminal refractory glaucoma were under observation, of which 30 patients underwent micropulse cyclophotocoagulation, 34 – combined technique (in continuous mode in the lower hemisphere, in micropulse in the upper hemisphere) using transillumination. The Supra 810 nm subliminal laser (Quantel Medical, Cournon d’Auvergne, France) was used. The follow-up period was 6 months. All patients underwent special studies: visual acuity, tonometry using iCare tonometer (Finland), eye inflammatory reaction was assessed objectively with laser tindalemetry using FS-2000 from Kowa (Japan).

Results: The average intraocular pressure (IOP) in the micropulse group decreased by 18.4% after 6 months, and by 30% in the combined technique group. There were no postoperative complications in the first group, but 2 cases of postoperative uveitis in the second group. The average protein flow in the anterior chamber increased by 36% and 79.5% in 6 months after surgery.

Conclusion: In the combined technique group was lower postoperative IOP, but more pronounced inflammatory reaction.