Prospective evaluation of micropulse transscleral diode cyclophotocoagulation in refractory glaucoma: 1 year results.

Abstract:

PURPOSE:To evaluate the effectiveness in in-traocular pressure reduction and safety of micropulse trans-scleral diode cyclophotocoagulation in refractory glaucoma. METHODS:We prospectively evaluated a case series of 21 eyes of 21 consecutive patients with refractory glaucoma treated with micropulse transscleral diode cyclophotocoagulation at 12-month follow-up. The total treatment time was at the discretion of the surgeon, considering baseline and target intraocular pressure and glaucoma diagnosis. Intraocular pressure, inflammation, visual acuity, and number of medications were monitored. Success was defined as intraocular pressure between 6 and 21 mmHg and/or 30% reduction from baseline intraocular pressure with or without the use of antiglaucoma medications. Visual acuity loss was defined as a loss of ≥2 lines of vision on the Snellen chart or a ≥2-level decrease in visual function in patients with nonmeasurable chart acuity. RESULTS:The mean age was 61.04 ± 12.99 years, and 11 (52.4%) patients were male, with most (95%) patients showing low visual acuity at baseline (count fingers or worse). The mean intraocular pressure was 33.38 ± 15.95 mmHg, and the mean number of medications was 3.5 ± 1.1 at baseline. After 1, 3, 6, and 12 months, 76.19%, 57.14%, 55.56%, and 66.67%, respectively, of the patients were classified as treatment successes. Seven (33.3%) patients required new laser treatment and were considered treatment failures. The mean intraocular pressure reduction was 44.72% ± 29.72% in the first week and 41.59% ± 18.93% at the end of follow-up (p=0.006). The mean number of medications significantly dropped to 2.00 ± 1.7 at the 12-month visit (p=0.044). Complications included hypotony (4.8%), intraocular inflammation after 1 month (19%), and visual acuity loss (4.8%). CONCLUSIONS:Micropulse transscleral diode cyclophotocoagulation was safe and effective for reducing intraocular pressure in eyes with refractory and advanced glaucoma, with reduced need for ocular antihypertensive medication.

journal_name

Arq Bras Oftalmol

authors

Jammal AA,Costa DC,Vasconcellos JPC,Costa VP

doi

10.5935/0004-2749.20190076

subject

Has Abstract

pub_date

2019-06-27 00:00:00

pages

381-388

issue

5

eissn

0004-2749

issn

1678-2925

pii

S0004-27492019005010102

journal_volume

82

pub_type

杂志文章
  • [Keratoconus special soft contact lens fitting].

    abstract:PURPOSE:To evaluate the fitting and use of a soft contact lens in keratoconic patients. METHODS:Retrospective study on 80 eyes of 66 patients, fitted with a special soft contact lens for keratoconus, at the Contact Lens Section of UNIFESP and private clinics. Keratoconus was classified according to degrees of disease ...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492006000400018

    authors: Yamazaki ES,da Silva VC,Morimitsu V,Sobrinho M,Fukushima N,Lipener C

    更新日期:2006-07-01 00:00:00

  • [Subperiosteal midface lift: an alternative to correct the cicatricial eyelid ectropion].

    abstract:PURPOSE:To show the subperiosteal midface lift as an option to treat cicatricial eyelid ectropion. METHODS:Nine patients submitted to 12 surgeries to correct cicatricial eyelid ectropion, were evaluated according sex, age and treatment results. All the patients had the surgery done under local anesthesia and the midfa...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492005000400019

    authors: Schellini SA,Sampaio Junior Ade A

    更新日期:2005-07-01 00:00:00

  • Impression cytology features of conjunctival nevi reported as more noticeable.

    abstract:PURPOSE:To report the impression cytology features of conjunctival nevi reported as more noticeable. METHODS:35 patients who reported that a conjunctival lesion had become more noticeable after color or size change were enrolled. On slit-lamp examination, a clinical diagnosis of nevus was made and lesions underwent im...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492009000200014

    authors: Barros Jde N,Lowen MS,Mascaro VL,Andrade TP,Martins MC

    更新日期:2009-03-01 00:00:00

  • [Ocular toxicity caused by chloroquine: case report].

    abstract::To report a case of ocular toxicity due to chloroquine. The best visual acuity was measured in both eyes with the Snellen chart. Slit-lamp examination of anterior segment, refraction, dilated fundus examination, fluorescein angiography and retinography was done in a 53-year-old patient, female, with rheumatoid arthrit...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492005000300027

    authors: Inada ET,Watanabe KP,Tanaka SG,Sakakisbara LA

    更新日期:2005-05-01 00:00:00

  • Approach of Turkish ophthalmologists to micronutrition in age-related macular degeneration.

    abstract:PURPOSE:To evaluate the knowledge and behaviors of ophthalmologists in Turkey concerning micronutrition support in patients with age related macular degeneration (ARMD). METHODS:This study involved 1,845 ophthalmologists. A scientific poll was sent to all participants by email. The survey covered the following: demogr...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.5935/0004-2749.20150004

    authors: Muhammed Ş,Yüksel H,Şahin A,Cingü AK,Türkcü FM,Özkurt ZG,Çaça İ

    更新日期:2015-01-01 00:00:00

  • Ocular blood flow and choroidal thickness changes after carotid artery stenting.

    abstract:PURPOSES:To evaluate changes in ocular blood flow and subfoveal choroidal thickness in patients with symptomatic carotid artery stenosis after carotid artery stenting. METHODS:We included 15 men (mean age, 63.6 ± 9.1 years) with symptomatic carotid artery stenosis and 18 healthy volunteers (all men; mean age, 63.7 ± 5...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.5935/0004-2749.20200081

    authors: Biberoglu E,Eraslan M,Midi I,Baltacioglu F,Bitargil M

    更新日期:2020-09-01 00:00:00

  • Cost-effectiveness comparison between non-penetrating deep sclerectomy and maximum-tolerated medical therapy for glaucoma within the Brazilian National Health System (SUS).

    abstract:PURPOSE:Non-penetrating deep sclerectomy (NPDS) has emerged as a viable option in the surgical management of open-angle glaucoma. Our aim is to assess the cost-effectiveness of NPDS and to compare it to maximum medical treatment in a 5-year follow-up. METHODS:A decision analysis model was built. Surgical (NPDS) arm of...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492012000100002

    authors: Guedes RA,Guedes VM,Chaoubah A

    更新日期:2012-01-01 00:00:00

  • A new unity for angular measurements in strabismus.

    abstract::The practical advantages of quantifying an angle by a ratio of linear lengths instead of arcs of circles has led to the definition of the prism-diopter, a conventional unity for numbering prisms and measuring strabismic deviations. However, a major inconvenience of using prism-diopter unities to express angular measur...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.5935/0004-2749.20140070

    authors: Bicas HE

    更新日期:2014-10-01 00:00:00

  • Keratoconus progression is not inhibited by reducing eyelid muscular force with botulinum toxin A treatment: a randomized trial.

    abstract:Purpose::To evaluate whether reducing eyelid muscular force through the administration of botulinum toxin type A (BTX-A) to the orbicularis oculi muscles of patients with keratoconus affected corneal parameters indicative of disease progression. Methods::In this prospective parallel randomized clinical trial, 40 eyes ...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章,随机对照试验

    doi:10.5935/0004-2749.20170022

    authors: Renesto ADC,Osaki TH,Osaki MH,Hirai FE,Campos M

    更新日期:2017-03-01 00:00:00

  • [The knowledge of medical students about cornea donation].

    abstract:PURPOSE:To compare knowledge of medical students about the cornea donation process among those who already studied Ophthalmology and the others. METHODOS: A questionnaire containing data as: age, sex, graduation year, and 10 multiple-choice questions about the subject was applied to medical students from the interior o...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492007000400004

    authors: de Espíndola RF,Rodrigues BA,Penteado LT,Tan-Ho G,Gozzan JO,de Freitas JA

    更新日期:2007-07-01 00:00:00

  • Assessing patient satisfaction with cataract surgery under topical anesthesia supplemented by intracameral lidocaine combined with sedation.

    abstract:PURPOSE:Ocular akinesia, the use of anticoagulants, and patient collaboration are some of the factors that must be taken into consideration when choosing the appropriate anesthesia for phacoemulsification cataract surgery. The satisfaction of patients with the use of topical anesthesia and conscious sedation for this p...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492013000600005

    authors: Fernandes MB,Souza RV,Vasconcelos GC,Ribeiro KG,Andrade BB,Fernandes CR

    更新日期:2013-11-01 00:00:00

  • [Incomplete Vogt-Koyanagi-Harada syndrome associated with HLA DRB1*01 in a 4-year-old child: case report].

    abstract::Vogt-Koyanagi-Harada syndrome is chronic systemic autoimmune disease with ocular, nervous, auditory and tegumental manifestations. We report here the case of a child with onset of symptoms at four years and two months of age, with positive HLA DRB1*01. ...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492007000200027

    authors: Lucena DR,Paula JS,Silva GC,Rodrigues Mde L

    更新日期:2007-03-01 00:00:00

  • [Retinopathy in a patient with hepatitis C treated with pegylated interferon and ribavirin: case report].

    abstract::Interferon is an immunomodulating cytokine used to treat patients with different diseases, such as hepatitis C chronic infection. Pegylated interferon is a new type of interferon, developed to increase the half-life of the drug. Many side effects have been related to its use, including ocular toxicity and retinopathy....

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492006000200022

    authors: Avila MP,Freitas AM,Isaac DL,Bastos AL,Pena RV

    更新日期:2006-03-01 00:00:00

  • Corneal biomechanical evaluation in healthy thin corneas compared with matched keratoconus cases.

    abstract:PURPOSE:To evaluate and compare corneal hysteresis (CH) and corneal resistance factor (CRF) in healthy eyes with a central corneal thickness (CCT) < 505 µm with CH and CRF in gender-, age-, and CCT-matched keratoconus cases, and to estimate the sensitivity and specificity of these parameters for discriminating between ...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492011000100003

    authors: Fontes BM,Ambrósio R Jr,Velarde GC,Nosé W

    更新日期:2011-01-01 00:00:00

  • Frequency of ocular diseases among recipients of disability benefits in the metropolitan region of Recife, Brazil.

    abstract:PURPOSE:To identify the frequency of ocular diseases among recipients of disability benefits in the metropolitan region of Recife, Brazil. METHODS:A review was performed of 217,221 cases of disability benefits granted between 2010 and 2015 by the executive managerial department of the Brazilian National Institute of S...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.5935/0004-2749.20180058

    authors: Veloso JCB,Câmara Filho JWS,Gaete MIL,Lira RPC

    更新日期:2018-07-01 00:00:00

  • Intravitreal ranibizumab and bevacizumab therapy for choroidal neovascularization in age-related macular degeneration with extensive pre-existing geographic atrophy.

    abstract:PURPOSE:To report the response of choroidal neovascularization to intravitreal ranibizumab or bevacizumab treatment in the setting of age-related macular degeneration with extensive pre-existing geographic atrophy of the retinal pigment epithelium. METHODS:This is a retrospective case series of 11 eyes in ten consecut...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492012000400011

    authors: Amaro MH,Roller AB

    更新日期:2012-07-01 00:00:00

  • New insights into Vogt-Koyanagi-Harada disease.

    abstract::Vogt-Koyanagi-Harada disease (VKH), a well-established multiorgan disorder affecting pigmented structures, is an autoimmune disorder of melanocyte proteins in genetically susceptible individuals. Several clinical and experimental data point to the importance of the effector role of CD4+ T cells and Th1 cytokines, the ...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章,评审

    doi:10.1590/s0004-27492009000300028

    authors: Damico FM,Bezerra FT,Silva GC,Gasparin F,Yamamoto JH

    更新日期:2009-05-01 00:00:00

  • [Late opacification of a polymethylmethacrylate (PMMA) intraocular lens: case report].

    abstract::The use of intraocular lenses was a great advance in visual recovery after cataract surgery. Although usually with good biocompatibility, some alterations in the intraocular lens material may occur after implantation. Polymethylmethacrylate was the first intraocular lens material to be used on a large scale and assume...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492005000500021

    authors: Maia OO Jr,Nakashima AF,Barbosa EP,Primiano Júnior HP,Nakashima Y

    更新日期:2005-09-01 00:00:00

  • Evaluation of epithelial cell proliferating activity and fibroblast nuclear kariometry in recurrent pterygium treated with mitomycin C.

    abstract:PURPOSE:To evaluate the effectiveness of mitomycin C (MMC) in preventing recurrence of pterygium following conjunctival autograft transplantation (CAT). Ki-67 antigen to evaluate epithelial cell proliferation and fibroblast nuclear kariometry were used to assist treatment evaluation. METHODS:Twenty-nine patients with ...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章,随机对照试验

    doi:10.1590/s0004-27492008000400019

    authors: Almeida Junior GC,Frederico FB,Watanabe KP,Garcia TV,Iquejiri AY,Cury PM,Taboga SR,Azoubel R

    更新日期:2008-07-01 00:00:00

  • [Canaliculitis: case report and management].

    abstract::Canaliculitis is a rare infection of the lacrimal canaliculus with Actinomyces israelii as its most common etiologic agent. The objective of this paper is to report a rare pathology, as well as its clinical and surgical management. Female patient, 44 years old, presenting clinical manifestations compatible with canali...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492008000100023

    authors: Carneiro RC,Macedo EM,Oliveira PP

    更新日期:2008-01-01 00:00:00

  • [Study of visual acuity and intraocular pressure in the treatment of macular diabetic edema with intravitreous triamcinolone].

    abstract:PURPOSE:To evaluate the effect of intravitreal triamcinolone acetonide in patients with diffuse diabetic macular edema on the visual acuity and intraocular pressure. To report the potential adverse events and to analyze the potential relationship between age and visual acuity and intraocular pressure variability. METH...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492010000200006

    authors: Rezende MP,Dias AF,Oshima A,Andrade EP,Serracarbassa PD

    更新日期:2010-03-01 00:00:00

  • Functional impairment with minimal macular damage in femtosecond laser plasma injury: case report.

    abstract::A 26 years old female patient was examined twenty-four hours after observing laser-induced plasma formation in a process of nanoparticle production complaining of bilateral central scotoma. The ophthalmologic evaluation included dilated fundus observation, fluorescein angiography, and optical coherence tomography (OCT...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492013000500015

    authors: Freitas C,Moreno-Perdomo N,Gentil R,Baptista AM,Macedo AF

    更新日期:2013-10-01 00:00:00

  • Visual loss resulting from immunosuppressive therapy in patients with syphilitic uveitis.

    abstract::Permanent visual loss can be caused by improper use of immunosuppressive therapy in cases of uveitis without differential diagnosis of syphilitic uveitis. We present four cases of syphilitic uveitis that were incorrectly diagnosed as being secondary to rheumatic diseases and were subsequently treated with immunosuppre...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.5935/0004-2749.20150047

    authors: Afonso VC,Nascimento H,Belfort RM,Sato EI,Muccioli C,Belfort R Jr

    更新日期:2015-05-01 00:00:00

  • [Orbital eosinophilic granuloma].

    abstract:PURPOSE:To report the retrospective experience of a reference center in the diagnosis and treatment of orbital eosinophilic granuloma. METHODS:A review of the files in the Opththalmic Pathology Laboratory, of the Hospital Universitário Professor Edgard Santos, Universidade Federal da Bahia, between 1974 and 2004, was ...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492008000300019

    authors: Marback EF,Guimarães RD,Nader M,Moitinho LM,Marback RL

    更新日期:2008-05-01 00:00:00

  • Impression cytologic analysis after corneal cross-linking and insertion of corneal ring segments for keratoconus: two-year results.

    abstract:PURPOSE:To report the impression cytologic results after corneal cross-linking and insertion of intrastromal corneal ring segments for keratoconus. METHODS:Thirty-nine eyes were distributed into two groups: 1) cross-linking group (patients underwent corneal cross-linking procedure), and 2) riboflavin eyedrops group (p...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章,随机对照试验

    doi:10.1590/s0004-27492012000200006

    authors: Renesto Ada C,Barros Jde N,Campos M

    更新日期:2012-03-01 00:00:00

  • Patient education in glaucoma: what do patients know about glaucoma?

    abstract:PURPOSE:To evaluate the knowledge glaucoma patients have about their disease and its treatment. METHODS:One hundred and eighty-three patients were interviewed at the Glaucoma Service of Wills Eye Hospital (Philadelphia, USA, Group 1) and 100 at the Glaucoma Service of University of Campinas (Campinas, Brazil, Group 2)...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492006000600024

    authors: Costa VP,Spaeth GL,Smith M,Uddoh C,Vasconcellos JP,Kara-José N

    更新日期:2006-11-01 00:00:00

  • [Transconjunctival vitrectomy: preliminary data using the TSV-25 Millennium System].

    abstract:PURPOSE:To report the preliminary surgical results of pars plana vitrectomy with a transconjunctival technique using the TSV-25 Millennium system. METHODS:Twenty consecutive patients (20 eyes) that underwent transconjunctival vitrectomy with the TSV-25 Millennium system, between July 2003 and January 2004, were prospe...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492005000600004

    authors: Rezende Filho F,Alcântara S,Régis LG

    更新日期:2005-11-01 00:00:00

  • Evaluation of the retinal vasculature of patients with branch retinal vein occlusion using optical coherence tomography angiography.

    abstract:PURPOSE:To evaluate vascular density in super-ficial and deep capillary plexuses of the retina, measured using optical coherence tomography angiography in patients with branch retinal vein occlusion. Affected eyes were compared with the contralateral eye of the same patient and both were compared with normal eyes. MET...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.5935/0004-2749.20200091

    authors: Moura BCFS,Lira RPC,Arantes TEFE,Paiva IB,Bravo Filho VTF

    更新日期:2020-11-01 00:00:00

  • [Congenital retinal macrovessel: case report].

    abstract::The authors report a case of arteriolar retinal macrovessel, diagnosed by routine ophthalmologic examination, as well as its optic coherence tomography aspects. Congenital retinal macrovessel is a large aberrant vessel, often unilateral, usually a vein, rarely an artery, located in the posterior pole which can cross t...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492007000100031

    authors: Silva Bde M,Rosa AA,Santos EM,Almeida Sobrinho EF

    更新日期:2007-01-01 00:00:00

  • [Treatment of neovascular age-related macular degeneration with antiangiogenic drugs].

    abstract::Age-related macular degeneration (ARMD) remains a leading cause of blindness in the western world. Several clinical forms of the disease are recognized, whereas choroidal neovascularization (CNV) represents an important manifestation suitable for treatment. The treatment of CNV has been a major focus of research in th...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章,评审

    doi:10.1590/s0004-27492006000500027

    authors: Rodrigues EB,Rossi EE,Grumann Junior A,Meyer CH,Ho AC

    更新日期:2006-09-01 00:00:00