How do you perform Cyclophotocoagulation?
How do you perform Cyclophotocoagulation?
The Procedure During a transscleral cyclophotocoagulation treatment, a laser probe is placed on the white wall of the eye, just outside the circle formed by the iris and the cornea, and 15 to 30 laser treatment spots are administered.
What is a Cyclodestructive procedure?
Background: Cyclodestructive procedures are often used in patients with refractory glaucoma who have failed to achieve lower intraocular pressure (IOP) from filtration procedures and maximal medical therapy. Destruction of the ciliary body helps to lower IOP by reducing aqueous humor formation.
What is ciliary Transscleral therapy?
Transcleral cyclodiode therapy is usually applied to the ciliary body with the use of a contact G-probe at the corneoscleral limbus. Treatment can be administered under local or general anaesthetic and transillumination is used by some surgeons to better delineate the position of the pars plicata of the ciliary body.
What is CPC eye surgery?
CPC is a procedure in which a laser is used to alter part of the ciliary body, which lies behind part of the iris (the colored part of the eye).
What is absolute glaucoma?
An eye that has lost all vision and has uncontrolled pressure is sometimes referred to as having “absolute glaucoma”. In such situations, the mechanism of underlying pressure elevation may be apparent (e.g., neovascular or uveitic glaucoma), whereas in other cases, it may not.
What is a tube shunt for glaucoma?
Tube-shunt surgery (seton glaucoma surgery) involves placing a flexible plastic tube with an attached silicone drainage pouch in the eye to help drain fluid (aqueous humour) from the eye. This type of surgery is usually done after a trabeculectomy that failed.
How are cyclodestructive procedures used to treat glaucoma?
In cyclodestructive procedures, the secretory epithelium of the ciliary epithelium is damaged, which leads to reduced aqueous humor secretion and lower IOP. Because the ciliary epithelium can regenerate, multiple treatments are necessary in some patients to achieve the desired long term IOP lowering effect.
Can a laser be used to treat glaucoma?
Laser energy can be directed through the sclera to treat the ciliary processes using a probe in contact with the sclera over the intended treatment site. This technique, called trans-scleral cyclophotocoagulation, has been reported in pediatric glaucoma using both the Nd:YAG laser and the diode laser.
Which is the best surgery for glaucoma refractory?
Transscleral diode cyclophotocoagulation is an effective surgical procedure for glaucoma that is refractory to maximal medical therapy and/or previous penetrating surgery. Proper patient selection and surgical technique help to minimize the procedure’s known side effects and improve its long-term success.
What kind of medication do you take for glaucoma?
Topical eye creams and/or drops are prescribed, as well as pain medication and an anti-inflammatory to help with healing. With each check-up after the procedure, glaucoma medications will be slowly lessened depending on the eye’s response to the treatment.
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