May 2006
Volume 47, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2006
Long Term Safety Profile of Endocyclophotocoagulation in the Management of Refractory Pediatric Glaucoma
Author Affiliations & Notes
  • J.A. Brooks
    School of Medicine–Ophthalmology, Indiana Univ Sch of Medicine, Indianapolis, IN
  • D.E. Neely
    School of Medicine–Ophthalmology, Indiana Univ Sch of Medicine, Indianapolis, IN
  • D.A. Plager
    School of Medicine–Ophthalmology, Indiana Univ Sch of Medicine, Indianapolis, IN
  • Footnotes
    Commercial Relationships  J.A. Brooks, None; D.E. Neely, None; D.A. Plager, None.
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science May 2006, Vol.47, 5468. doi:
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      J.A. Brooks, D.E. Neely, D.A. Plager; Long Term Safety Profile of Endocyclophotocoagulation in the Management of Refractory Pediatric Glaucoma . Invest. Ophthalmol. Vis. Sci. 2006;47(13):5468.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose: : Our experience with endoscopic diode laser cyclophotocoagulation in pediatric patients is continuing to grow. We initially started performing the procedure in 1994–95 in 10 eyes of 8 patients, many of whom were end stage eyes that had failed multiple other procedures. 6 of those eyes were aphakic. We now report the long term safety profile of this surgical technique in the initial treatment group of 10 eyes.

Methods: : Retrospective review of 12 endoscopic diode laser cyclophotocoagulation procedures performed on 10 eyes of 8 pediatric patients. Postoperatively, patients have a minimum of 75 months of follow up to assess long–term intraocular pressure response and occurrence of any subsequent complications.

Results: : At 110.58 ± 22.91 months of follow–up an average of 1.20 ± 0.42 endolaser treatments to a total arc of 243.00 ± 57.36 degrees of ciliary body were performed. Baseline mean pretreatment intraocular pressure was 36.10 ± 9.94 mm Hg. Final IOP was 23.30 ± 11.96 mm Hg at last follow up. None of these eyes had a total arc of treatment equaling 360 degrees. 2 eyes of different patients were retreated at least once. In the immediate post–operative period 1 eye had an episode of transient hypotony which subsequently resolved. Long term complications included progression of vision loss in 1 eye. No other long–term complications such as hypotony, retinal detachment, endophthalmitis or cataract formation occurred.

Conclusions: : Treatment of pediatric glaucomas with endoscopic diode laser cyclophotocoagulation has shown to have a favorable safety profile compared to other forms of cyclodestruction.

Keywords: clinical (human) or epidemiologic studies: outcomes/complications • ciliary body • laser 
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