Retrospective analysis of the effectiveness of diode laser CFC in patients with end-stage glaucoma

    Abstract

    Retrospective analysis of the effectiveness of diode laser CFC in patients with end-stage glaucoma

    G.V. Sorokoletov, T.S. Lyubimova, Yu.E. Biryukova, L.R. Plaksina

    S. Fyodorov Eye Microsurger y Federal State Institution, Moscow, Russia

    Currently, terminal glaucoma in combination with severe pain syndrome is one of the main causes leading to disability of the able-bodied population and a significant decrease in the quality of life of patients, often leading to the loss of the eye as an organ.

    Purpose. Evaluation of the outcomes of diode laser cyclophotocoagulation (CFC) in eyes with end-stage glaucoma in the long-term postoperative period.

    Material and methods. The results of CFC were evaluated in 1,674 patients (1,674 eyes) with end-stage glaucoma and severe pain syndrome in the long-term postoperative period. Diode laser CPF was performed on all eyes according to the standard procedure.

    Results. After surgery, the pain syndrome was stopped in all patients. Complications in the early postoperative period were detected in 9.6% of cases: reactive hypertension with corneal edema in 2 eyes (3.8%), hyphema in 3 eyes (5.7%). The average IOP values on the first day of follow-up in the main group were 29.58±6.25 mm Hg. By 1 month of follow-up, all patients showed a decrease in IOP values by an average of 35–40% from the baseline, after 6 months – by 25–35% lower than preoperative, amounting to 28±9.84 mm Hg. In 21.1% of cases, there was a sharp decrease in IOP, persistent hypotension of the eye and, as a result, subatrophy of the eyeball. Evisceration with resection of the posterior pole and plasty of the musculoskeletal stump due to pain syndrome was required in 41 patients (2.5%), eyeball subatrophy and hypotension in 11 (0.7%).

    Conclusion. Diode laser CFC is an effective method of treating terminal glaucoma, which allows in 97% of cases to stop the pain syndrome and preserve the eye as an organ. Carrying out evisceroenucleation with plastic surgery of the musculoskeletal stump allows you to eliminate pain and get a good cosmetic effect, improving the quality of life of the patient.

    Key words: terminal glaucoma, pain syndrome, CPC, increased IOP, evisceration, organ-sparing surgery, sub-atrophy of the eye, hypotension

    For quoting: Sorokoletov G.V., Lyubimova T.S., Biryukova Yu.E., Plaksina L.R. Retrospective analysis of the effectiveness of diode laser CFC in patients with end-stage glaucoma. Point of view. East – West. 2024;11(4): 68–73.

    DOI: https://doi.org/10.25276/2410-1257-2024-4-68-73

    Corresponding author: Liliya R. Plaksina, Bislil2396@gmail.com