Compare the efficacy of different energy levels of micropulse transscleral cyclophotocoagulation on intraocular pressure reduction in refractory glaucoma Micropulse Cyclophotocoagulation Laser treatment Intraocular pressure Glaucoma
Conditions
Interventions
Laser system- Vitra 810 Subliminal Quantel Medical laser
Probe- Subcylo probe (Cournon dAuvergne Cedex France)
Categorized patients into two groups (1 to 1) using computer generated block of four ran
Active Comparator Procedure/Surgery,Active Comparator Procedure/Surgery
Micropulse transscleral cyclophotocoagulation group 1,Micropulse transscleral cyclophotocoagulation group 2
Sponsors
None
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1. Refractory glaucoma patients (defined as glaucoma patients with uncontrolled IOP equal or more than 21 mm Hg at least 3 months despite maximally tolerated topical antiglaucoma medications, with or without oral antiglaucoma medications, and previous surgical therapy if any.) 2. BCVA from 20/20 to PL 3. Age equal or mote than 18 years old and equal or less than 80 years old 4. In case of bilateral refractory glaucoma, the eye which has higher IOP or more aggressive symptoms will be chosen
Exclusion criteria
Exclusion criteria: 1. Previous intraocular surgery within 2 months 2. Any sign of ocular infection or inflammation 3. Having an extended scleral thinning for more than 1 clock hour 4. Pregnancy 5. Patients who cannot be performed local anesthesia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Intraocular pressure Pre-pocedure and 1 week, 1month, 2 months, 3 months, and 6 months post-procedure applanation tonometer (Haag-Streit AG, Koeniz, Switzerland) | — |
Secondary
| Measure | Time frame |
|---|---|
| Best corrected visual acuity Pre-pocedure and 1 week, 1month, 2 months, 3 months, and 6 months post-procedure ETDRS chart,Anterior chamber cell Pre-pocedure and 1 week, 1month, 2 months, 3 months, and 6 months post-procedure Standardization of Uveitis Nomenclature (SUN) grading scheme for anterior chamber cells ,Cornea examination Pre-pocedure and 1 week, 1month, 2 months, 3 months, and 6 months post-procedure Haag-Streit BQ 900 Table LED Slit Lamp ,Fundus examination Pre-pocedure and 1 week, 1month, 2 months, 3 months, and 6 months post-procedure Haag-Streit BQ 900 Table LED Slit Lamp ,number of topical and systemic anti-glaucoma medications Pre-pocedure and 1 week, 1month, 2 months, 3 months, and 6 months post-procedure Out pateint record | — |
Countries
Thailand
Contacts
Public ContactYarnarin Papassornsiri
Department of Ophthalmology, Faculty of Medicine, Prince of Songkla University
Outcome results
None listed