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Cyclophotocoagulation can be useful in pediatric glaucoma

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Cyclophotocoagulation can effectively control intraocular pressure pediatric patients with refractory glaucoma, according to a study. The procedure has a low risk of complications, but may have increased risk in aphakic eyes, the study authors found.

R. Autrata and colleagues retrospectively studied 69 eyes of 53 pediatric patients with uncontrolled refractory glaucoma who were treated with transscleral diode laser cyclophotocoagulation. The mean age of the patients was 6, with a mean follow-up of 5.6 years. Success was defined as a postoperative IOP of less than 21 mm Hg. Mean baseline IOP was 34 mm Hg.

After one to six laser (mean 2.1) treatments, mean IOP fell to 20.8 mm Hg. With repeat photocoagulation, 79% of the eyes had a clinically effective reduction in IOP for 1 year. All complications occurred in eyes with aphakia.

The study is published in the November/December issue of Ophthalmologica.