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Pars plana endoscopic cyclophotocoagulation in refrectary glaucoma

Poster Details

First Author: E.Infantes Molina SPAIN

Co Author(s):    E. Lopez Mondejar   J. Zarco Tejada   L. Riveira Villalobos   J. Celis Sanchez   D. Mesa Varona   F. Gonzalez del Valle

Abstract Details

Purpose:

We propose a pars plana endoscopic cyclophtocoagulation approach to treat refractary glaucoma.

Setting:

La Mancha Centro Hospital, Alcazar de San Juan

Methods:

We perform this surgical technique in 9 eyes of 9 patients with refractary glaucoma (Rieger syndrome, neovascular glaucoma, refractary glaucoma). All cases were pseudophakic prior to surgery, otherwise we associated cataract surgery in the same procedure. In all patients a pars plana vitrectomy (al least of the central vitreous) was performed prior to the endoscopic cyclophotocoagulation. To introduce the 19G endoscopic probe it was necessary to enlarge the 25 or 23G microsclerotomy. At the first attempt, 270ยบ of the cyliary body were treated.

Results:

Intraocular pressure was controlled in 55% of patients with only one treatment; 33% required a second treatment and 12% needed four treatment. None vitreoretinal complications has been described until now.

Conclusions:

Pars plana endoscopic cyclophotocoagulation associated to pars plana vitrectomy allows us to reach the entire cillary process maintaining stable the intraocular pressure and enabling us a better access to this hidden anatomical site. FINANCIAL DISCLOUSRE: NONE

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