Diode laser cyclophotocoagulation for nanophthalmic chronic angle closure glaucoma

J Glaucoma. 2015 Feb;24(2):127-9. doi: 10.1097/IJG.0b013e31829da1ba.

Abstract

Purpose: To retrospectively evaluate the results of diode laser cyclophotocoagulation (CPC) in patients with nanophthalmos.

Methods: The data on all bilaterally nanophthalmic patients who underwent diode laser CPC in our department between 2004 and 2012 were retrieved and evaluated.

Results: Four patients fulfilled study entry criteria. All 4 were females aged 58, 62, 68, and 74 years. The mean preoperative intraocular pressure of 46±5.7 mm Hg dropped to 16.2±1.5 mm Hg at the final follow-up visit (43.5±16 mo). Visual acuity did not change in 2 patients and slightly worsened in the other 2. Choroidal detachment was observed in all patients between 7 and 14 days after the procedure and lasted for 1 to 2 months, resolving spontaneously in 2 patients and following systemic steroid treatment in the other 2.

Conclusions: Diode laser CPC was an effective treatment for patients with glaucoma secondary to nanophthalmos.

MeSH terms

  • Aged
  • Chronic Disease
  • Ciliary Body / surgery*
  • Female
  • Glaucoma, Angle-Closure / etiology
  • Glaucoma, Angle-Closure / physiopathology
  • Glaucoma, Angle-Closure / surgery*
  • Humans
  • Intraocular Pressure / physiology
  • Laser Coagulation / methods*
  • Lasers, Semiconductor / therapeutic use*
  • Microphthalmos / complications
  • Microphthalmos / physiopathology
  • Microphthalmos / surgery*
  • Middle Aged
  • Retrospective Studies
  • Treatment Outcome
  • Visual Acuity / physiology