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NR 4-6/2005
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Zastosowanie lasera
diodowego w jaskrze wtórnej u dzieci – obserwacje długoterminowe
Diode laser in secondary
glaucoma in children – long-term results
Maria Formińska-Kapu¶cik1, Ewa
Pieczara2, R. Domański2
1Z Katedry i Kliniki Okulistyki ¦l±skiej Akademii
Medycznej w Katowicach
2Z Samodzielnego Publicznego Szpitala Klinicznego nr
5 w Katowicach
Kierownik: prof. dr hab. n. med. Ariadna Gierek-Łapińska |
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| Summary: |
This paper presents
effectiveness and safety of transscleral contact
cyclophotocoagulation with diode laser (TSCPC) in
secondary glaucoma in children. Fifteen eyes of 15
children at the age from 4 to 18 years were examined.
Majority of patients was aphakic after congenital and
traumatic cataract extraction. Microphtalmus, nystagmus
and dysgenesis mesodermalis was observed. Eleven eyes
had undergone at least one previous trabeculectomy, 9
eyes -cyclokrioaplication and 4 eyes perforate diathermy.
In all patients diode laser transscleral
cyclophotocoagulation has been performed. The number of
procedures per one eye, intraocular pressure (IOP),
visual acuity and complications after TSCPC was
estimated. Follow-up ranged from 3 to 5 years, mean 4.13
years. TSCPC was performed once in 3 eyes, twice in 6
eyes, three times in 4 eyes and four times in 2 eyes,
mean 2.33 procedures per eye. Before the treatment mean
IOP was 34.0 mmHg. Decreasing of IOP was observed in
73.3% of eyes. The final mean postoperative IOP was
20.07 mmHg. Visual acuity before operation ranged from
no light perception to 0.0001, mean 0.0081. After TSCPC
no light perception was noted in 2 eyes. Visual acuity
recovered in 1 eye. Mean Length of the eye globe before
treatment was 24.48 mm. No changes of length after
cyclophotocoagulation were noted.
Conclusions: cyclophotocoagulation by diode laser
is a useful therapy for the treatment of secondary
pediatric glaucomas with uncontrolled IOP in the long
term. |
| Słowa kluczowe: |
laser diodowy,
cyklofotokoagulacja, jaskra wtórna, dzieci. |
| Key words: |
diode laser,
cyclophotocoagulation, secondary glaucoma, children. |
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