Lisbon 2017 Delegate Registration Programme Exhibition Virtual Exhibition Satellites OneWorld Travel Discount
escrs app advert

Safety and efficacy of multiple cyclocoagulation of ciliary bodies by high-intensity focused ultrasound in patients with glaucoma

Search Title by author or title

Session Details

Session Title: Presented Poster Session: Glaucoma

Venue: Poster Village: Pod 2

First Author: : A.De Gregorio ITALY

Co Author(s): :    G. Stevan   A. Bertoncello   M. Montali   S. Morselli     

Abstract Details


To evaluate long-term efficacy and safety of ultrasound ciliary plasty (UCP) retreatments, with high intensity focused ultrasound (HIFU) in patients with uncontrolled glaucoma.


Ophthalmic Unit, San Bassiano Hospital, Bassano del Grappa, Italy


Prospective non-comparative case series study. Forty eyes of 40 patients older than 18 years affected by primary or secondary glaucoma with a baseline IOP > 21 mmHg under maximal tolerated medical therapy. A complete ophthalmic examination was performed before and after the procedure at 1, 4, 10 days and each month till 1 year.The HIFU treatment was repeated at 4 months if the intraocular pressure (IOP) was > 21 mmHg without major complications. Complete success was defined as a final IOP > 5 mmHg and ≤ 21 without hypotensive medications adjunction and without major or vision-threatening complications.


The mean preoperative IOP was 32.5 ± 9.9 mmHg. Four months after the first UCP the IOP reduction was 27.8%. Twenty-two eyes didn't achieve the complete success, a second treatment was performed in 20 eyes and 4 months after the IOP reduction was 20.3% from preoperative and 34.7% from baseline. Twelve retreated eyes didn't achieve the complete success, a third treatment was performed and 4 months after the IOP reduction was 33.6% and 52.6% from baseline. At 12 months 82.5% of treated eyes (1 to 3 UCPs) achieved a complete success with significant hypotensive medications reduction and no major complications.


Our data demonstrated that multiple UCP treatments are safe and additional treatments increase the overall procedure efficacy with a possible step by step success achievement in most refractory glaucomatous eyes.

Financial Disclosure:


Back to previous