Combined laser endoscopic cyclophotocoagulation and vitrectomy in the management of secondary glaucoma due to dislocation of lens

Objective To evaluate the efficacy of laser endoscopic cyclophotocoagulation(ECP)combined with lensectomy and vitrectomy for secondary glaucoma due to traumatic lens dislocation.Design Retrospective case series.Participants 36 patients (36 eyes) with secondary glaucoma due to traumatic lens dislocation.Methods 36 patients were performed with ECP (810nm diobe laser,200～1000mW,300～600ms,range 100～200°) combined with lensectomy and vitrectomy.Suturing IOL was performed in 17 patients.Main Outcome Measures Visual acuity,IOP,and complications.Results The mean preoperative IOP was (34.11±14.00) mmHg.31 patients were followed from 3 to 15 months.At the time of last follow-up,the IOP significantly decreased to (17.22±4.17) mmHg.The total IOP controlling rate was 86.11% (3136).4 cases received secondary antiglaucoma procedures.No severe pain occurred at the time of ECP,and no severe postoperative complications were found in all cases.Conclusion ECP for secondary glaucoma due to dislocation of lens permits operation under direct visualization with few complications.ECP is very simple but considerably efficient combined with vitrectomy.