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Título: | Comparison of safety and effectiveness of micropulse transscleral cyclophotocoagulation and “slow cook” diode laser transscleral cyclophotocoagulation in patients with refractory open-angle glaucoma |
Autor(es): | Russ, Heloisa Helena Abil Seixas, Regina Cele Silveira Maestrini, Heloísa Andrade Balbino, Marcos Fernandes, Thatiana Almeida Pereira Lima, Núbia Vanessa dos Anjos Lopes, Nara Lídia Vieira Rodrigues Neto, Taurino dos Santos |
Palavras-chave: | Esclera - cirurgia Glaucoma de ângulo aberto - cirurgia Corpo ciliar - cirurgia Pressão intraocular Coagulação a laser - métodos Lasers semicondutores Estudo comparativo Eficácia |
Data do documento: | 2025 |
Editor: | Conselho Brasileiro de Oftalmologia |
Citação: | RUSS, Heloisa Helena Abil et al. Comparison of safety and effectiveness of micropulse transscleral cyclophotocoagulation and “slow cook” diode laser transscleral cyclophotocoagulation in patients with refractory open-angle glaucoma. Arquivos Brasileiros de Oftalmologia, v. 88, n. 1, p. 01–08, 2025. |
Resumo: | Purpose: This study aimed to compare the safety and effectiveness of intraocular pressure reduction between micropulse transscleral cyclophotocoagulation and “slow cook” transsclera cyclophotocoagulation in patients with refractory primary open-angle glaucoma. Methods: We included patients with primary open angle glaucoma with at least 12 months of follow-up. We collected and analyzed data on the preoperative characteristics and postoperative outcomes. The primary outcomes were a reduction of ≥20% of the baseline value (criterion A) and/or intraocular pressure between 6 and 21 mmHg (criterion B). Results: We included 128 eyes with primary open-angle glaucoma. The preoperative mean intraocular pressure was 25.53 ± 6.40 and 35.02 ± 12.57 mmHg in the micropulse- and “slow cook” transscleral cyclophotocoagulation groups, respectively (p<0.001). The mean intraocular pressure was reduced significantly to 14.33 ± 3.40 and 15.37 ± 5.85 mmHg in the micropulse- and “slow cook” transscleral cyclophotocoagulation groups at the last follow-up, respectively (p=0.110). The mean intraocular pressure reduction at 12 months was 11.20 ± 11.46 and 19.65 ± 13.22 mmHg in the micropulse- and “slow cook” transscleral cyclophotocoagulation groups, respectively (p<0.001). The median preoperative logMAR visual acuity was 0.52 ± 0.69 and 1.75 ± 1.04 in the micropulse- and “slow cook” transscleral cyclophotocoagulation groups, respectively (p<0.001). The mean visual acuity variation was -0.10 ± 0.35 and -0.074 ± 0.16 in the micropulse- and “slow cook” transscleral cyclophotocoagulation, respectively (p=0.510). Preoperatively, the mean eye drops were 3.44 ± 1.38 and 2.89 ± 0.68 drugs in the micropulse- and “slow cook” transscleral cyclophotocoagulation groups, respectively (p=0.017), but those were 2.06 ± 1.42 and 1.02 ± 1.46 at the end of the study in the slow cook” and micropulse transscleral cyclophotocoagulation groups, respectively (p<0.001). The success of criterion A was not significant between both groups. Compared with 11 eyes (17.74%) in the slow cook” transscleral cyclophotocoagulation group, 19 eyes (28.78%) in the micropulse transscleral cyclophotocoagulation group showed complete success (p=0.171). For criterion B, 28 (42.42%) and 2 eyes (3.22%) showed complete success after micropulse- and slow cook” transscleral cyclophotocoagulation, respectively (p<0.001). Conclusion: Both techniques reduced intraocular pressure effectively. |
URI: | http://repo.saocamilo-sp.br:8080/jspui/handle/123456789/2154 |
ISSN: | 1678-2925 |
Aparece nas coleções: | Artigos de Periódicos |
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