M C Linsen | PubMed Health

PubMed1998

Diode laser cyclophotocoagulation in refractory glaucoma.

A retrospective analysis was made of the first 19 eyes of 19 patients with intractable glaucoma treated with contact diode cyclophotocoagulation. We assessed intraocular pressure (IOP) and number of glaucoma medications. The mean follow-up was 4 months (range 1 to 11 months). Mean IOP's decreased from 31.7 +/- 14.6 pre-diode treatment to 23.7 +/- 16.9 mmHg at the last follow-up visit after treatment (p = 0.02). The mean number of medications required decreased from 1.9 before to 1.3 after treatment (p = 0.03). The study suggests that diode cyclophotocoagulation is an effective and safe procedure in eyes with refractory glaucoma.

Adult↗

PubMed1998

Is combined phacoemulsification and trabeculectomy as effective as trabeculectomy alone?

We reviewed the charts of 60 consecutive patients with open-angle glaucoma who underwent a trabeculectomy (T) or a single-site combined glaucoma and cataract procedure (phaco-trabeculectomy = PT) to compare the pressure lowering effect of both techniques. The pressure lowering effect after 12 months was significant in both groups: 11.44 +/- 5.94 mm Hg in the T-group and 5.00 +/- 4.51 mm Hg in the PT-group (p < 0.001). The pressure levels one year postoperatively were significantly lower in the T-group compared to the PT-group: 11.08 +/- 2.80 mm Hg versus 15.04 +/- 2.40 mm Hg (p < 0.001). Our results suggest that the combined procedure, although proven to be effective in lowering the intraocular pressure, is less effective than trabeculectomy alone.

Follow-Up Studies↗