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Title: The long-term effect of diode laser cyclodestruction on intraocular pressure. Author: Callens C, D'Hondt K, Zeyen T. Journal: Bull Soc Belge Ophtalmol; 2003; (289):81-6. PubMed ID: 14619633. Abstract: We retrospectively reviewed the first 24 patients (26 eyes) who underwent ab externo diode laser cyclodestruction for refractory glaucoma and who had a follow-up of at least 10 months. We compared the intraocular pressure (IOP) and the number of antiglaucomatous medications used pre- and postoperatively. The mean follow-up period was 28 months (range 10 to 50 months). The mean IOP before and after treatment was respectively 30 +/- 12 mmHg and 22 +/- 12 mmHg (p < 0.05), a mean reduction of 29%. The average number of treatment sessions was 1.5 (range 1 to 5). An IOP < or = 21 mmHg was obtained in 65% of the cases; an IOP < or = 17 mmHg was achieved in 46% of the cases. The mean number of anti-glaucomatous medications used pre- and postoperatively was respectively 2.3 and 1.7 (p < 0.05). Only mild postoperative uveitis was observed; no eye developed phthisis bulbi. The study suggests that diode laser cyclodestruction is a safe procedure that can reduce the IOP in the long term in patients with refractory glaucoma.[Abstract] [Full Text] [Related] [New Search]