Original Research Article
Year: 2018 | Month: August | Volume: 8 | Issue: 8 | Pages: 41-45
To Compare the Efficacy and Safety of Diode Laser Cyclophotocoagulation and Cyclocryotherapy in Refractory Glaucoma in Kashmiri Population
Rahila Ramzan1, Asif Amin Vakil2, Sabia Rashid3
1Senior Resident, Post Graduate Department of Ophthalmology, GMC Srinagar.
2Assistant Prof. Post Graduate Department of Ophthalmology, GMC Srinagar.
3Prof. Post Graduate Department of Ophthalmology, GMC Srinagar.
Corresponding Author: Rahila Ramzan
ABSTRACT
Objective: To compare the efficacy and safety of Diode Laser Cyclophotocoagulation and Cyclocryotherapy in Refractory Glaucoma in Kashmiri Population
Material and method: 60 patients, who presented to the Department of Ophthalmology, Govt. Medical College Srinagar between July2016 and May2018, were included in the study. Patients of both genders, ranging from 1 to 62 years of age, were included in the study. This is a prospective, interventional case series involving 60 eyes of 60 patients with refractory glaucoma and no previous cycloablation.
Results: 60 eyes of 60 patients were treated. All patients completed at least 6 months follow up and were included in the study. Mean follow up was 11 months ranging from 6 months to 22 months. Mean age of the patients was 41 years. (Range 1-62 years). Visual acuity was PL to 6/60.The mean pre treatment IOP of 60 eyes (of 60 patients) was 50.9 ±12.8 mmHg.In CDP Group Mean IOP at 1, 6 and 12 months was 24.9 ± 12.0 mmHg, 26.9 ± 10.7 mmHg and 27.8 ± 10.9 mmHg respectively. In Cyclocryo Group Mean IOP at 1, 6 and 12 months was 34.1 ± 11.0 mmHg, 29.9 ±09.8 mmHg and 31.8 ± 08.7 mmHg respectively.
Conclusion: Transscleral diode laser cycloablation is highly effective in lowering intraocular pressure with less complication rate as compared to cyclocryotherapy. High success and low complication rate combined with portability, durability and easy to learn technique makes diode laser cycloablation the treatment of choice for refractory and complex glaucoma.
Key words: VA (Visual acuity); CDP (cyclophotocoagulation); IOP (Intraocular pressure); PL (Perception of light).