Cyclocryotherapy of chronic open-angle glaucoma in aphakic eyes.

Abstract:

:Twenty-six eyes of 25 patients with chronic open-angle glaucoma and surgical aphakia with inadequate control of intraocular pressure (IOP) despite maximal medical treatment were treated with cyclocryotherapy, according to a prospective protocol and specific technique. (Neovascular and synechial glaucoma were excluded from this series.) In most cases topical medications were resumed after cyclocryotherapy. During follow-up of seven to 95 months (average, 46 months), IOP was reduced to 19 mm Hg or lower in 24 out of 26 eyes (92%). In two eyes, persistent decrease in visual acuity, unrelated to reduction of IOP, occurred after cyclocryotherapy. On the basis of the long-term benefits obtained by this procedure, we concluded that cyclocryotherapy should be considered the procedure of choice in the treatment of primary open-angle glaucoma in surgically aphakic eyes when pressure cannot be adequately reduced by maximally tolerated medical treatment.

journal_name

Am J Ophthalmol

authors

Bellows AR,Grant WM

doi

10.1016/s0002-9394(14)77093-x

subject

Has Abstract

pub_date

1978-05-01 00:00:00

pages

615-21

issue

5 Pt 1

eissn

0002-9394

issn

1879-1891

pii

S0002-9394(14)77093-X

journal_volume

85

pub_type

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