Takaisin Tulosta

Cyclophotocoagulation

Lisätietoa aiheesta
Glaucoma Working Group
28.3.2023

According to short-term follow-up studies in refractory glaucoma, transscleral laser cyclophotocoagulation may lower IOP but the need for repeated treatments is frequent.

Systematic review 1

Evidence from five studies included in this review was inconclusive as to whether cyclodestructive procedures for refractory glaucoma result in better outcomes and fewer complications than other glaucoma treatments, and whether one type of cyclodestructive procedure is better than another. The most commonly reported adverse events across all five studies were hypotony and phthisis bulbi «Chen MF, Kim CH, Coleman AL. Cyclodestructive proc...»1.

Systematic review 2

There is insufficient evidence to evaluate the relative effectiveness and safety of cyclodestructive procedures for the primary procedural management of non-refractory glaucoma. Results from the one included trial did not compare cyclophotocoagulation to other procedural interventions and yielded uncertainty about any different in outcomes when comparing low-energy versus high-energy diode transscleral cyclophotocoagulation. Overall, the effect of laser treatment on IOP control was modest and the number of eyes experiencing vision loss was limited. More research is needed specific to the management of non-refractory glaucoma «Michelessi M, Bicket AK, Lindsley K. Cyclodestruct...»2.

Kirjallisuutta

  1. Chen MF, Kim CH, Coleman AL. Cyclodestructive procedures for refractory glaucoma. Cochrane Database Syst Rev 2019;3:CD012223 «PMID: 30852841»PubMed
  2. Michelessi M, Bicket AK, Lindsley K. Cyclodestructive procedures for non-refractory glaucoma. Cochrane Database Syst Rev 2018;4:CD009313 «PMID: 29694684»PubMed
  3. Immonen IJ, Puska P, Raitta C. Transscleral contact krypton laser cyclophotocoagulation for treatment of glaucoma. Ophthalmology 1994;101:876-82 «PMID: 8190474»PubMed
  4. Threlkeld AB, Johnson MH. Contact transscleral diode cyclophotocoagulation for refractory glaucoma. J Glaucoma 1999;8:3-7 «PMID: 10084267»PubMed
  5. Lederer Jr CM, Thomas JV. Laser Surgery for Glaucoma. In Thomas JV, Belcher III CD, Simmons RJ (toim.). Glaucoma Surgery 1992, s. 157-94
  6. Chen TC, Pasquale LR, Walton DS ym. Diode laser transscleral cyclophotocoagulation. Int Ophthalmol Clin 1999;39:169-76 «PMID: 10083914»PubMed
  7. Yap-Veloso MI, Simmons RB, Echelman DA ym. Intraocular pressure control after contact transscleral diode cyclophotocoagulation in eyes with intractable glaucoma. J Glaucoma 1998;7:319-28 «PMID: 9786561»PubMed
  8. Gupta N, Weinreb RN. Diode laser transscleral cyclophotocoagulation. J Glaucoma 1997;6:426-9 «PMID: 9407372»PubMed
  9. Spencer AF, Vernon SA. "Cyclodiode": results of a standard protocol. Br J Ophthalmol 1999;83:311-6 «PMID: 10365039»PubMed
  10. Bloom PA, Tsai JC, Sharma K ym. "Cyclodiode". Trans-scleral diode laser cyclophotocoagulation in the treatment of advanced refractory glaucoma. Ophthalmology 1997;104:1508-19; discussion 1519-20 «PMID: 9307649»PubMed
  11. Brancato R, Carassa RG, Bettin P ym. Contact transscleral cyclophotocoagulation with diode laser in refractory glaucoma. Eur J Ophthalmol 1995;5:32-9 «PMID: 7795399»PubMed
  12. Kosoko O, Gaasterland DE, Pollack IP ym. Long-term outcome of initial ciliary ablation with contact diode laser transscleral cyclophotocoagulation for severe glaucoma. The Diode Laser Ciliary Ablation Study Group. Ophthalmology 1996;103:1294-302 «PMID: 8764801»PubMed
Artikkelin tunnus: nix03059 (037.030)
© 2025 Suomalainen Lääkäriseura Duodecim

Käypä hoito -suositus

Anna palautetta
Linkkien värikoodit