Efficacy and safety of ultrasound cycloplasty in Indian eyes with open-angle glaucoma

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IJO2022v70n12p4168.pdf (965.42 KB)
Date
2022-12
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All India Ophthalmological Society
Abstract
Purpose: To evaluate the safety and efficacy of ultrasound cycloplasty in eyes with primary or secondary open?angle glaucoma, not amenable to adequate control of intra?ocular pressure (IOP) with medical treatment. Methods: Prospective interventional cohort study of 28 eyes of 28 subjects in a tertiary eye care centre in India in patients with open?angle glaucoma. All enrolled eyes underwent ultrasound cycloplasty with the second?generation probe with six shots of 8 s each, operated by a single surgeon between November 2018 and January 2020. They were followed up for a period of 12 months. The primary treatment outcome was IOP and the secondary outcomes were vision and postoperative complications. Results: A total of 28 eyes of 28 patients were studied, and the mean age was 63.82 ± 6.46 years. Primary open?angle glaucoma (75%) was the most common etiology. There was significant reduction in IOP from the baseline (24.93 ± 4.27 mmHg) to the postoperative value (15.82 ± 3.14 mmHg) at the end of 12 months (P < 0.00001). Mean reduction in IOP was 9.14 ± 4.09 mmHg at 12 months (36.66%). Number of ocular hypotensives reduced significantly from baseline (3.32 ± 0.47) to 12?month postoperative follow?up (0.68 ± 0.74) (P < 0.00001). Qualified success was achieved in 89.28% eyes. No major complications were noted. Conclusion: Ultrasound cycloplasty is found to be effective and safe in eyes with open?angle glaucoma because of the primary or secondary etiology, being more effective in the former
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Keywords
Intraocular pressure, management of glaucoma, open?angle glaucoma, ultrasound cycloplasty
Citation
Paul Chandrima, Divya J, Sengupta Subhrangshu, Kamal Richa, Paul Anujeet, Mitra Ishani. Efficacy and safety of ultrasound cycloplasty in Indian eyes with open-angle glaucoma. Indian Journal of Ophthalmology. 2022 Dec; 70(12): 4168-4171
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https://imsear.searo.who.int/handle/123456789/224775
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Indian Journal of Ophthalmology