1. Efficacy and safety of ultrasonic circular cyclocoagulation with second-generation probe in glaucoma: A retrospective study
- Author
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Max Villain, Hyosun Han, David S. Greenfield, Chloé Chamard, Vincent Daien, Hôpital Gui de Chauliac, Université Montpellier 1 (UM1)-Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier), Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier), Institut National de la Santé et de la Recherche Médicale (INSERM), The University of Sydney, Hôpital Gui de Chauliac [Montpellier], University of Miami Leonard M. Miller School of Medicine (UMMSM), and Salvy-Córdoba, Nathalie more...
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Male ,030213 general clinical medicine ,Intraocular pressure ,Visual acuity ,Eye Diseases ,genetic structures ,Vision ,medicine.medical_treatment ,Visual Acuity ,Social Sciences ,Glaucoma ,MESH: Ultrasonics ,Pathology and Laboratory Medicine ,MESH: Visual Acuity ,MESH: Aged, 80 and over ,0302 clinical medicine ,Medicine and Health Sciences ,Glaucoma surgery ,Psychology ,Edema ,Medicine ,Trabeculectomy ,Ultrasonics ,MESH: Treatment Outcome ,MESH: Aged ,Aged, 80 and over ,MESH: Middle Aged ,Multidisciplinary ,Ophthalmic Procedures ,Retinal detachment ,Middle Aged ,3. Good health ,Treatment Outcome ,[SDV.MHEP.OS] Life Sciences [q-bio]/Human health and pathology/Sensory Organs ,Retinal Disorders ,[SDV.IB]Life Sciences [q-bio]/Bioengineering ,Sensory Perception ,Female ,MESH: Glaucoma ,Anatomy ,medicine.symptom ,Research Article ,medicine.medical_specialty ,Science ,Surgical and Invasive Medical Procedures ,03 medical and health sciences ,Signs and Symptoms ,Musculoskeletal System Procedures ,MESH: Intraocular Pressure ,Diagnostic Medicine ,Ocular System ,Ophthalmology ,Humans ,[SDV.MHEP.OS]Life Sciences [q-bio]/Human health and pathology/Sensory Organs ,Macular edema ,Intraocular Pressure ,Aged ,Retrospective Studies ,[SDV.IB] Life Sciences [q-bio]/Bioengineering ,MESH: Humans ,business.industry ,Retinal Detachment ,Biology and Life Sciences ,MESH: Retrospective Studies ,Retrospective cohort study ,medicine.disease ,MESH: Trabeculectomy ,MESH: Male ,eye diseases ,030221 ophthalmology & optometry ,Eyes ,sense organs ,business ,MESH: Female ,Head ,Neuroscience - Abstract
International audience; To assess the efficacy and safety of the second-generation probe of ultrasonic circular cyclocoagulation (UC3) in naive or refractory glaucoma, with a 6-month follow-up.Methods: A retrospective consecutive case-series study included patients having a UC3 procedure with the second-generation probe of the EyeOP1 device, intraocular pressure (IOP) ≥ 21 mmHg and under maximum tolerated medical treatment, with or without previous glaucoma surgery. Surgical success was defined at the 6-month post-operative visit as IOP > 5 and ≤ 21 mmHg with IOP reduction ≥ 20% from baseline, without any reoperation, and visual acuity better than negative light perception.Results: 100 patients were included and 97 (97.0%; 97 eyes) attended the 6-month follow-up. At 6 months, surgical success was obtained in 48 eyes (49.5%). Intraocular pressure was reduced from a mean ± SD preoperative value of 28.0 ± 5.6 mmHg to 19.3 ± 7.1 mmHg at 6 months (p 2 Snellen lines. Postsurgical macular edema was associated with a history of epiretinal membranes, uveitis or retinal detachment. Risk factors for hypotony were a history of diabetes or trabeculectomy.Conclusions: The second-generation UC3 probe significantly reduced IOP in eyes with naive and refractory glaucoma but severe post-operative complications were often observed. Further studies are needed to better identify responders and decrease the high risk for complications associated with the procedure. more...
- Published
- 2020
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