Title
Combined technique for the application of micropulse cyclophotocoagulation in patients with uncontrolled glaucoma: Cyclo mix
Date Issued
01 January 2020
Access level
open access
Resource Type
journal article
Author(s)
Waldo L.G.
Julio H.Q.
Jennifer C.V.
Vanessa V.A.
Luis C.C.
Rosa A.V.
Publisher(s)
Jaypee Brothers Medical Publishers (P) Ltd
Abstract
Purpose: To describe the outcomes of a combined technique (Cyclo Mix) in uncontrolled glaucoma cases. Materials and methods: Retrospective study. The Supra 810 nm subliminal laser (Quantel Medical, Cournon d’Auvergne, France) was used. A combined technique was performed using the subliminal mode (Subcyclo) in one hemifield (power of 2,000 mW, a duty cycle of 35%, and 80–150 seconds), and the continuous wave mode (Thermo Cyclo) on the other hemifield (power of 1,000 mW, exposure time of 2 seconds per spot). The primary endpoint was the probability of surgical failure. Mean intraocular pressure (IOP) change, best-corrected visual acuity (BCVA), number of glaucoma eye drops, and complications at 6 months postoperatively were secondary outcomes. Results: Twenty-three eyes from 13 patients were included. Mean age was 61.4 ± 16.7 (range: 18–78 years), and 69% were female, with a baseline IOP of 20.3 ± 5.9 (range: 13–38 mm Hg). The cumulative probability of failure was 18 and 22% on days 90 and 180, respectively. Mean IOP reduction was −25.6 ± 20.9% at 6 months. The number of glaucoma eye drops was reduced to 1.2 ± 1 (p = 0.0024) at 6 months. No statistically significant change in the mean BCVA compared with baseline at 6 months was found (p = 0.84), and no severe complications were reported. Conclusion: Cyclo Mix seems to be a safe therapy that effectively reduces the IOP and glaucoma medications in eyes with uncontrolled open-angle glaucoma for up to 6 months.
Start page
93
End page
97
Volume
14
Issue
3
Language
English
OCDE Knowledge area
Oftalmología
Subjects
Scopus EID
2-s2.0-85105002076
Source
Journal of Current Glaucoma Practice
ISSN of the container
09740333
Sources of information:
Directorio de Producción Científica
Scopus