Efficacy of transscleral laser cyclophotocoagulation for the treatment of refractory glaucoma

Objective To evaluate the efficacy of diode laser transscleral cyclophotocoagulation in the treatment of refractory glaucoma. Methods The data of 48 eyes of 48 refractory glaucoma patients were enrolled and analyzed retrospectively. All eyes underwent diode laser transscleral ciliary body photocoagulation. Postoperative intraocular pressure, visual acuity and complications were observed and recorded. Results The visual acuity improved in 4 patients (8.3%), decreased in 2 patients (4.2%), and kept no change in 42 cases(87.5%) postoperatively. The success rates of IOP at 1 , 3 and 6 months after operation were 58.3%, 66.7% and 81.3% respectively, and the total effective rates were 89.6%, 93.8% and 95.9% respectively. No atrophy of eyeball, sclera melted or other serious postoperative complication happened. Conclusion Diode laser transscleral cyclophotocoagulation is safe and effective for the treatment of refractory glaucoma. Key words: Laser, diode; Cyclophotocoagulation, transscleral; Glaucoma, refractory