Trabeculectomy versus diode laser cyclophotocoagulation for refractory glaucoma after penetrating keratoplasty

Norihiro Nagai, Y. Ohtake, T. Nishiyama, T. Tanino, M. Yamada, Y. Mashima

Research output: Contribution to journalArticle

Abstract

We studied the efficacy of trabeculectomy and diode laser cyclophotocoagulation for refractory glaucoma after penetrating keratoplasty. The study was performed in 13 eyes of 12 patients. The mean intraocular pressure (IOP) was 26.6±5.4 mmHg before trabeculectomy (11 eyes) and 22.5±12.0 mmHg at the last visit. IOP was controlled in only 2 eyes (18%). On the other hand the mean lOP was 28.8±9.9 mmHg before diode laser cyclophotocoagulation (8 eyes) and 18.5±8.3 mmHg with medication at the last visit. IOP was contorolled in 70% of cases 3 years after repeated cyclophotocoagulation procedures. Laser cyclophotocoagulation rarely causes severe complications and the procedure can be repeated, making cyclophotocogulation therapy relatively safe and effective to reduce lOP in eyes with refractory glaucoma after penetrating keratoplasty when trabeculectomy has not been effective.

Original languageEnglish
Pages (from-to)943-948
Number of pages6
JournalFolia Ophthalmologica Japonica
Volume51
Issue number10
Publication statusPublished - 2000

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Semiconductor Lasers
Penetrating Keratoplasty
Trabeculectomy
Glaucoma
Intraocular Pressure
Lasers

Keywords

  • Cyclophotocoagulation
  • Penetrating Keratoplasty
  • Secondary Glaucoma
  • Trabeculectomy

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Trabeculectomy versus diode laser cyclophotocoagulation for refractory glaucoma after penetrating keratoplasty. / Nagai, Norihiro; Ohtake, Y.; Nishiyama, T.; Tanino, T.; Yamada, M.; Mashima, Y.

In: Folia Ophthalmologica Japonica, Vol. 51, No. 10, 2000, p. 943-948.

Research output: Contribution to journalArticle

Nagai, N, Ohtake, Y, Nishiyama, T, Tanino, T, Yamada, M & Mashima, Y 2000, 'Trabeculectomy versus diode laser cyclophotocoagulation for refractory glaucoma after penetrating keratoplasty', Folia Ophthalmologica Japonica, vol. 51, no. 10, pp. 943-948.
Nagai, Norihiro ; Ohtake, Y. ; Nishiyama, T. ; Tanino, T. ; Yamada, M. ; Mashima, Y. / Trabeculectomy versus diode laser cyclophotocoagulation for refractory glaucoma after penetrating keratoplasty. In: Folia Ophthalmologica Japonica. 2000 ; Vol. 51, No. 10. pp. 943-948.
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AU - Yamada, M.

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