Slow coagulation versus micropulse transscleral cyclophotocoagulation for refractory childhood glaucoma.

IF 1.4 4区医学 Q3 OPHTHALMOLOGY

European Journal of Ophthalmology Pub Date : 2024-11-01 Epub Date: 2024-02-29 DOI:10.1177/11206721241236920

Regina Cele Silveira Seixas, Heloisa Helena Abil Russ, Heloisa Andrade Maestrini, Marcos Balbino, Thatiana Almeida Pereira Fernandes, Núbia Vanessa Dos Anjos Lima, Nara Lídia Vieira Lopes, Taurino Dos Santos Rodrigues Neto

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引用次数: 0

Abstract

Purpose: To compare the safety and efficacy of micropulse laser (MP-TSCP) and slow coagulation transscleral cyclophotocoagulation (TSCP) with a diode laser for reducing intraocular pressure (IOP) in patients with refractory childhood glaucoma (CG).

Methods: Patients with CG and at least 12 months of medical chart data were included. Data on preoperative and postoperative outcomes were analyzed. The primary outcomes were an IOP of 6-21 mmHg and/or ≥ 20% reduction in the baseline value.

Results: A total of 17 eyes were included. The preoperative mean IOP was 28 mmHg in the MP-TSCP and 29.9 mmHg in the TSCP. The mean IOP decreased significantly to 17.26 ± 3.27 mmHg in the MP-TSCP and 14.68 ± 5.79 mmHg TSCP at the last medical record. Three anti-glaucoma meds were administered to the eyes preoperatively in both groups. A mean of 1.02 eye drops was administered to the MP-TSCP and 2.06 to the TSCP. The number of medications decreased by 2.38 ± 1.55 in the MP-TSCP and 0.82 ± 1.68 in the TSCP. The median preoperative visual acuity (logMAR) was 1.51 ± 1.06 in the MP-TSCP and 1.87 ± 0.74 in the TSCP. The variation in mean visual acuity (logMAR) was -0.027 ± 0.05 in the MP-TSCP and -0.40 ± 0.58 in the TSCP. The most frequent complication was corneal decompensation (one - MP-TSCP and two - TSCP).

Conclusion: Both techniques were effective and relatively safe for reducing IOP. These techniques appear to extend the indications of cyclophotocoagulation in CG eyes and improve the functional prognosis.

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慢凝法与微脉冲经巩膜环形光凝法治疗难治性儿童青光眼的比较。

目的：比较微脉冲激光（MP-TSCP）和二极管激光慢凝经巩膜环形光凝（TSCP）降低难治性儿童青光眼（CG）患者眼压（IOP）的安全性和有效性：方法：纳入至少有 12 个月病历资料的儿童青光眼患者。对术前和术后结果的数据进行了分析。结果：共纳入 17 只眼睛：结果：共纳入 17 只眼睛。结果：共纳入 17 只眼睛，MP-TSCP 术前平均眼压为 28 mmHg，TSCP 术前平均眼压为 29.9 mmHg。在最后一份医疗记录中，MP-TSCP 的平均眼压明显降低至 17.26 ± 3.27 mmHg，TSCP 为 14.68 ± 5.79 mmHg。两组患者术前都使用了三种抗青光眼药物。MP-TSCP 平均滴用 1.02 滴眼液，TSCP 平均滴用 2.06 滴眼液。MP-TSCP 和 TSCP 的用药次数分别减少了 2.38 ± 1.55 和 0.82 ± 1.68。MP-TSCP 的术前视力（logMAR）中位数为 1.51 ± 1.06，TSCP 为 1.87 ± 0.74。MP-TSCP和TSCP的平均视力（logMAR）分别为-0.027 ± 0.05和-0.40 ± 0.58。最常见的并发症是角膜失代偿（1 例 MP-TSCP，2 例 TSCP）：结论：两种技术都能有效降低眼压，而且相对安全。结论：这两种技术都能有效降低眼压，而且相对安全。这些技术似乎扩大了环形光凝术在 CG 眼睛中的适应症，并改善了功能性预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of Ophthalmology 医学-眼科学

CiteScore

3.60

自引率

0.00%

发文量

372

审稿时长

3-8 weeks

期刊介绍： The European Journal of Ophthalmology was founded in 1991 and is issued in print bi-monthly. It publishes only peer-reviewed original research reporting clinical observations and laboratory investigations with clinical relevance focusing on new diagnostic and surgical techniques, instrument and therapy updates, results of clinical trials and research findings.