Micropulse transscleral cyclophotocoagulation in the treatment of various forms of glaucoma

Objective: analysis of the first results of glaucoma surgical treatment by micropulse transscleral cyclophotocoagulation. Material and methods. 31 patients (31 eyes) are examined and treated, 58% of them are men, 42% are women, the average age is 63±17years, with different forms of glaucoma: primary open-angle glaucoma of stages l-IV was in 83.9% of cases, secondary - 12.9%, juvenile stage III - 3.2%. The initial level of intraocular pressure (IOP) was on average 30.9±5.02 mmHg. Visual acuity in 74.2% of cases was 0.2 and higher. All patients had a history of hypotensive operations including laser. All patients took at least two kinds of hypotensive drugs (an average of 2.9). The principles of the selection of persons for treatment and the operation technique are described. The observation period is 10 months. Results. No intraoperative complications were noted. Postoperative complications: short-term pain syndrome was in 9.6% of cases, IOP rise above preoperative - 9.6%, persistent hypotension -6.4%, ectopia of the pupil - 16.1%. The target IOP level of 87.2% has been reached. On average, IOP was 18.7±7 mmHg (p=0,04). The number of hypotensive drugs used decreased by 28%. Visual acuity was preserved in 94% of cases. Conclusion. The first experience of using micropulse transscleral cyclophotocoagulation has demonstrated an effective result in reducing the IOP level and the number of hypotensive drugs used. The safety of using this method and a small number of complications are shown.