DR. CAMINA ANDREW

DR.SINDHUSHREE RAJAGOPAL, DR.ROOSHITHA B. SINGH, DR. ANTONY AROKIADASS BASKARAN

Abstract

Purpose: To study the efficacy of micropulse transcleral cyclophotocoagulation(Cyclo G6) in the treatment of patients with refractory advanced glaucoma. Methods: In this prospective interventional study, 13 eyes of 11 patients(mean age : 65.36 ±7.5 yrs), who had refractory advanced glaucoma underwent Cyclo G6 procedure with MP3(rev2) probe. History of prior glaucoma procedures noted. Best corrected LOGMAR acuity(VA), number of Antiglaucoma medications (AGM) used and intraocular pressure (IOP) were recorded before and 1week, 1,3 & 6 months after the procedure. Results: Mean IOP dropped from 26.08 ± 9.39 preoperatively to 17.77±7.3,19.62±6.10,19.00±5.9& 19.85±5.06 at 1 week, 1,3& 6 months respectively (p<0.05). The AGM used decreased significantly from 4.54±0.52(pre-op) to 3.54±0.52 at 6 months postoperatively(p <0.05). There was no significant change in the VA post operatively. Conclusion: Cyclo G6 is effective and safe in the management of patients with refractory advanced glaucoma.