Observational report

Abstract

The purpose of this article is to evaluate the improved safety and efficacy of transscleral cyclophotocoagulation (TSCPC) by performing it in the operating room.This is a retrospective review of 17 eyes of 16 patients who received TSCPC for uncontrolled glaucoma on maximum tolerated medication.Mean intraocular pressure (IOP) prior to surgery was 30.85 ± 6.24 mm Hg and was reduced to 14.48 ± 3.53 mm Hg after treatment for an average reduction in IOP of 48.56% at the final visit (P < .001). Visual acuity was measured at the final follow-up visit and was stable in 13 eyes (76.47%), improved in 2 eyes (11.75%), and decreased in 2 eyes (11.75%). Nine of the eyes (52.94%) saw a reduction in the number of medications taken, whereas 8 had no change. Two eyes had resolved complications of cystoid macular edema (CME) and subconjunctival hemorrhages. The overall success rate is determined to be 88%.TSCPC performed in the operating room may have greater safety and efficacy for patients with uncontrolled glaucoma.

Evolution of cyclophotocoagulation

“…[ 59 60 ] A recent study of transscleral diode CPC on 17 eyes with refractory glaucoma suggested that a higher success rate with less postoperative complications after one treatment can be achieved if CPC was performed in the operating room as opposed to being done in the clinic. [ 61 ] The team further explained that the operating room allows for well monitored anesthesia, better tolerability during the procedure and more accurate laser applications. [ 61 ]…”

“…[ 61 ] The team further explained that the operating room allows for well monitored anesthesia, better tolerability during the procedure and more accurate laser applications. [ 61 ]…”