Efficacy of contact trans-scleral diode laser cyclophotocagulation for neovascular glaucoma

ABSTRACT

This prospective study was conducted to evaluate the effectiveness of contract trans-scleral diode laser cyclophotocoagulation [TSCPC] for Neovascular glaucoma.20 eyes of nineteen patients with Neovascular glaucoma on maximum medical treatment were consecutively treated by TSCPC. Success rate was defined as IOP of 5-25 mmHg in eyes of VA> hand movement [HM]; or relief of pain in eyes with VA= HM including blind eyes [NPL] and reduction of eye drops used in all eyes TSCPC treatment was performed with the center of the proble 1.5 mm behind the limbus, 28-30 pulses were applied for 270 degrees around the cornea.Results:19 patients were followed up for 1 year after initial treatment. The overall success was bout 74% within one year 30 laser procedure was performed; mean 1.55 per patient. As for complications, there was no phthisis bulbi, persistent hypotonia, or sympathetic ophthalmia; however hyphema and moderate inflammatory reaction each occurred in 15%.Trans- scleral diode laser cyclo- photocoagulation is an effective method for the treatment of Neovascular glaucoma