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Br J Ophthalmol 91:1631-1635 doi:10.1136/bjo.2007.116533
  • Extended report
    • Clinical science - Extended reports

Long-term outcome of trans-scleral diode laser cyclophotocoagulation in refractory glaucoma

Table 4 Comparison of 7 recent studies with mid- and long-term follow-up of eyes treated with diode-laser cyclophotocoagulation
Study Country Follow-up (months) No. of eyes Diagnosis % Refractory glaucoma % Neovasc glaucoma % Primary glaucoma Mean IOP pretreatm Mean IOP end of FU % IOP reduction Overall success rate (%) Definition of success Re-treatment rate (%) Response rate after 1st CPC (%) Response rate after 2nd CPC (%) No. of treatments per eye No. of treatments (range) No. of burns per treatment episode Mean energy per treatment episode (J) Mean total energy per eye (J) VA stable (%) VA improved (%) VA worsened (%)
Kramp et al19 Germany 13.9 193 Primary and secondary glaucoma 6.2 64.8* 24.6 19.3 21.5* 76.4 10 to 22 mm Hg 21.2 68.9 1.3 1 to 6 24 to 30 92.4* 120.1*
Grueb et al18 Germany 24.0 90 Primary glaucoma 0 100 21.0 16.0 23.8 36.7 4 to 18 mm Hg 30.0 1.3 1 to 3 15 to 20 80.0 104.0*
Ansari and Gandhewar20 UK 12.5 74 Refractory and non-refractory glaucom 50 31 40.3 21.1 45.1 82.0 30% reduction 1.4† 82** 1.01 1 to 2 30 (4.5) 124.1* 124.1*
Noureddin et al15 Lebanon 13.7 36 Refractory glaucoma 100 16.6 25 35.8 19.1 53 72.2 ?? 21 mm Hg 25.0 1.25 1 to 2 26 to 28 121.5* 151.9* 44 33 22
Murphy et al16 UK 17.0 263 Refractory glaucoma 100 46.4 18.6 40.7 17.7 52.6 79.5 5 to 21 mm Hg 34.2 58.9 81.3 1.5 1 to 7 - 104.1 155.2 75 5 20
Pucci et al17 Italy 26.0 120 Refractory glaucoma 100 12.5 52.5 30.4 20.3 35 76‡ ?? 21 mm Hg 45.8 54.1 1.7 1 to 5 10 (1.8) 43.6* 75.2* 55 21 24
Iliev and Gerber (this study) Switzerland 30.1 131 Refractory glaucoma 100 61.1 12.2 37.7 15.3 55 69.5 6 to 21 mm Hg 38.9 55.0 80.2 1.54 1 to 6 22 (5.6) 86.8 133.9 55 11 34
  • *Calculated, based on the data in the paper; †only one eye was re-treated; ‡calculated according to table 2 in the paper; **see the definition of success and the end IOP.

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