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Cyclophotocoagulation with an illuminated laser probe under a noncontact wide-angle retinoscope: A modified technique of ciliary body photocoagulation

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机构: [1]Department of Ophthalmology, Ningbo Eye Hospital, Ningbo, Zhejiang, Ningbo Central Blood Station, Ningbo, Zhejiang, [2]Department of Ophthalmology, The Second Affiliated Hospital of Soochow University, China
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关键词: Cyclophotocoagulation illuminating laser probe neovascular glaucoma

摘要:
Purpose: This study aimed to investigate the efficacy of cyclophotocoagulation with an illuminated laser probe under a noncontact wide-angle retinoscope in treating refractory glaucoma. Methods: Eleven patients (11 eyes) with refractory neovascular glaucoma were treated with ciliary body photocoagulation. Preoperative and postoperative corrected visual acuity, intraocular pressure (IOP), ophthalmofundoscopy, B-ultrasound and ultrasound biomicroscopy, optical coherence tomography, and fundus fluorescein angiography were performed. Results: Preoperative IOP ranged from 45 to 58 mmHg (mean 51.9 mmHg). At postoperative 1, 3, and 6 months, the IOPs ranged between 16 and 33 mmHg (mean 27.1 mmHg), 14-28 mmHg (mean 20.6 mmHg), and 14-28 mmHg (mean 18.5 mmHg), respectively. IOP at the last follow-up (range 7-12 months) was 15-24 mmHg (mean 18.8 mmHg). An average of 63.8% decrease in postoperative IOP was found in these patients with no associated complications. The postoperative fibrotic exudate, anterior chamber hyphema, and exudative choroidal detachment were all well-managed and resolved. No patients experienced intraocular lens deviation or dislocation, hypotonia oculi, atrophy of eyeball, retinal detachment, endophthalmitis, or sympathetic ophthalmia. Conclusion: Cyclophotocoagulation with an illuminated laser probe under a noncontact wide-angle retinoscope is a safe and effective technique for the treatment of neovascular glaucoma.

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出版当年[2018]版:
大类 | 4 区 医学
小类 | 4 区 眼科学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 眼科学
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出版当年[2017]版:
Q4 OPHTHALMOLOGY
最新[2023]版:
Q2 OPHTHALMOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2017版] 出版当年五年平均 出版前一年[2016版] 出版后一年[2018版]

第一作者:
第一作者机构: [1]Department of Ophthalmology, Ningbo Eye Hospital, Ningbo, Zhejiang, Ningbo Central Blood Station, Ningbo, Zhejiang, [2]Department of Ophthalmology, The Second Affiliated Hospital of Soochow University, China [*1]Department of Ophthalmology, Ningbo Eye Hospital, No. 855, Minan Road, Ningbo, Zhejiang 315040,China
通讯作者:
通讯机构: [*1]Department of Ophthalmology, Ningbo Eye Hospital, No. 855, Minan Road, Ningbo, Zhejiang 315040,China
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