Micropulse Transscleral Cyclophotocoagulation in Patients with Glaucoma: 1- and 2-year Treatment Outcomes

Ronald M P C de Crom*, Caroline G M M Slangen, Stefani Kujovic-Aleksov, Carroll A B Webers, Tos T J M Berendschot, Henny J M Beckers

*Corresponding author for this work

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Abstract

Precis: Micropulse trans-scleral cyclophotocoagulation (TSCPC) is an effective and safe IOP-lowering treatment for patients with primary or secondary glaucoma. Purpose: To investigate the 1-year and 2-year effect on intraocular pressure (IOP) and safety profile of micropulse TSCPC in patients with glaucoma. Methods: Patients with glaucoma underwent a standardized micropulse TSCPC (MicroPulse P3 probe, Iridex cyclo G6 laser system, Mountain View, CA) at the University Eye Clinic Maastricht from November 2016 to May 2018. Patients with at least 12 months of follow-up were included. Results: A total of 141 eyes of 136 patients were included. The mean age was 67.2 +/- 14.5 years, and 56.6% of patients were male individuals. The glaucoma subtypes treated were primary glaucoma (n=99) and secondary glaucoma (n=42). Prior glaucoma surgery was performed in 59 of 141 eyes (41.8%). The mean preoperative IOP was 23.5 +/- 9.4 mm Hg. The mean postoperative IOP dropped to 16.8 +/- 8.4, 17.0 +/- 7.8, and 16.8 +/- 9.2 mm Hg, after 12, 18, and 24 months, respectively. The mean number of IOP-lowering medications used preoperatively was 3.3 +/- 1.4. The mean number of medications used at 12, 18, and 24 months was respectively 2.6 +/- 1.5, 2.5 +/- 1.4, and 2.2 +/- 1.5. Postoperative complications included cystic macular edema (n=2), hypotony maculopathy (n=1), fibrinous/uveitic reaction (n=1), and rejection of corneal graft (n=1), all reversible after treatment. One patient developed persisting hypotony in the late postoperative period. Conclusions: Micropulse TSCPC is a safe and effective treatment for lowering both IOP and the number of IOP-lowering medications. Micropulse TSCPC can also be considered as a good alternative treatment option for patients after failed incisional glaucoma surgery or patients who are at high risk for incisional surgery.

Original languageEnglish
Pages (from-to)794-798
Number of pages5
JournalJournal of Glaucoma
Volume29
Issue number9
Early online date26 May 2020
DOIs
Publication statusPublished - Sep 2020

Keywords

  • DIODE-LASER CYCLOPHOTOCOAGULATION
  • glaucoma
  • laser treatment
  • micropulse
  • trans-scleral cyclophotocoagulation

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