Ab interno pulsed dye laser sclerostomy for the treatment of glaucoma: preliminary results of a new technique.
Ab interno gonioscopic laser sclerostomy in conjunction with iontophoretic staining of the sclera was performed on 12 patients with end-stage glaucoma in order to ascertain the feasibility of the technique. In 9 of 12 patients (75%) a visible sclerostomy was formed and mean intraocular pressure (IOP) dropped from 36.3 mmHg prior to treatment to 25.3 mmHg at 1 week, a fall of 30.3%. The drop in IOP was maintained throughout a 3-month follow-up period, with 6 of 11 patients having IOP controlled below 21 mmHG. The procedure is described together with our preliminary results, and possible advantages and areas of improvement for the technique are discussed.
Ruben
S
S
Glaucoma Unit, Moorfields Eye Hospital, London, UK.
Migdal
C
C
De Vivero
C
C
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005901:Glaucoma / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology; D007478:Iontophoresis; D053685:Laser Therapy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012599:Sclerostomy / Q000379:methods*; D014792:Visual Acuity / Q000502:physiology