title: Transpupillary Argon Laser Cyclophotocoagulation in a Refractory Traumatic Glaucoma Patient with Aphakia and Aniridia.
abstract: We present a case of transpupillary argon laser cyclophotocoagulation (TALC) in a patient with traumatic aniridia and aphakia secondary to blunt trauma who had previous bilateral trabeculectomy. Four months after the trauma the patient's intraocular pressure (IOP) rose to 35 mmHg despite topical antiglaucomatous medication. Inferior 180 degrees cyclophotocoagulation was performed with transpupillary argon laser in the first session and his IOP fell to values of 12-17 mmHg. Twelve weeks after TALC, his IOP rose to 22 mmHg and we had to apply TALC to the residual ciliary processes. Seven months later his IOP was 13 mmHg with topical dorzolamide/timolol and latanoprost administration. TALC may be an effective treatment alternative for lowering IOP in patients with visible ciliary processes who do not respond to conventional medical or laser treatment.
authors: İzmir Education and Research Hospital, Ophthalmology Clinic, İzmir, Turkey.
authors: Umut Duygu
authors: UD
authors: Uzunel
authors: Giresun University Faculty of Medicine, Department of Ophthalmology, Giresun, Turkey.
authors: Berna
authors: B
authors: Yüce
authors: İzmir Education and Research Hospital, Ophthalmology Clinic, İzmir, Turkey.
authors: Tuncay
authors: T
authors: Küsbeci
authors: Ege University Faculty of Medicine, Department of Ophthalmology, İzmir, Turkey.
authors: Halil
authors: H
authors: Ateş
keywords: Transpupillary argon laser cyclophotocoagulation; aphakia; glaucoma; traumatic aniridia