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
- Chen MF, Kim CH, Coleman AL. Cyclodestructive procedures for refractory glaucoma.
Cochrane Database Syst Rev 2019;3:CD012223 «PMID: 30852841»PubMed
- Michelessi M, Bicket AK, Lindsley K. Cyclodestructive procedures for non-refractory
glaucoma. Cochrane Database Syst Rev 2018;4:CD009313 «PMID: 29694684»PubMed
- Immonen IJ, Puska P, Raitta C. Transscleral contact krypton laser cyclophotocoagulation
for treatment of glaucoma. Ophthalmology 1994;101:876-82 «PMID: 8190474»PubMed
- Threlkeld AB, Johnson MH. Contact transscleral diode cyclophotocoagulation for refractory
glaucoma. J Glaucoma 1999;8:3-7 «PMID: 10084267»PubMed
- Lederer Jr CM, Thomas JV. Laser Surgery for Glaucoma. In Thomas JV, Belcher III CD,
Simmons RJ (toim.). Glaucoma Surgery 1992, s. 157-94
- Chen TC, Pasquale LR, Walton DS ym. Diode laser transscleral cyclophotocoagulation.
Int Ophthalmol Clin 1999;39:169-76 «PMID: 10083914»PubMed
- 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
- Gupta N, Weinreb RN. Diode laser transscleral cyclophotocoagulation. J Glaucoma 1997;6:426-9
«PMID: 9407372»PubMed
- Spencer AF, Vernon SA. "Cyclodiode": results of a standard protocol. Br J Ophthalmol
1999;83:311-6 «PMID: 10365039»PubMed
- 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
- 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
- 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