Transscleral Diode Laser Cyclophotocoagulation in a Patient With Ocular Cicatricial Pemphigoid

Abstract

The authors present a case of secondary glaucoma associated with silicone oil in a patient with ocular cicatricial pemphigoid successfully managed with transscleral diode laser cyclophotocoagulation. Six months following treatment, the patient remained satisfied and free of pain, with an intraocular pressure of 24 mm Hg without topical drops or oral acetazolamide. There was no evidence of exacerbation of ocular cicatricial pemphigoid and no adjustment was required to the patient's immunosuppressive therapy. This case suggests that transscleral diode laser cyclophotocoagulation may be safely used to control raised intraocular pressure in patients with ocular cicatricial pemphigoid without causing an exacerbation of the condition.

Incidence of hypotony and sympathetic ophthalmia following trans‐scleral cyclophotocoagulation for glaucoma and a report of risk factors

“…Four cases of sympathetic ophthalmia have been reported following TSCPC . In the extended literature search conducted, we identified 5979 eyes (6049 eyes including the current study) that had undergone diode laser TSCPC . If we include all cases of diode laser TSCPC reported in the literature (including the current study), the incidence is estimated at one in 1512, or 0.07% (95% CI 0.03%–0.17%).…”

Mucous Membrane Pemphigoid

“…99 Moore et al used transcleral diode laser cyclophotocoagulation to control raised intraocular pressure in a patient with ocular cicatricial pemphigoid without causing an exacerbation of the condition. 100 …”

MicroPulse Transscleral Laser Therapy in Patients With Glaucoma and Ocular Cicatricial Pemphigoid

“…13,14 Moreover, we found only 1 published case, of secondary glaucoma with silicone oil and OCP, in which MP-TLT was safe and effective for 6 months without exacerbation of the OCP. 15 Although the role of cyclophotocoagulation as adjunctive treatment for patients with OCP has been described, there is a lack of evidence of appropriate interventional glaucoma treatment for patients with OCP emphasizes the contribution of this case series and the possibility of MP-TLT to provide safe and efficient care in these difficult cases.…”