Micropulse transscleral cyclophotocoagulation for the treatment of glaucoma

Because of the unpredictable hypotensive effect and serious complications during continuous-wave cyclophotocoagulation (CW-CPC), the use of this method in the treatment of glaucoma is limited. Therefore, a new technique was developed, known as micropulse trans-scleral cyclophotocoagulation (MP-CPC)....

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Main Authors: N. S. Khodzhaev, A. V. Sidorova, A. V. Starostina, M. A. Eliseeva
Format: Article
Language:Russian
Published: Real Time Ltd 2020-05-01
Series:Российский офтальмологический журнал
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Online Access:https://roj.igb.ru/jour/article/view/425
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author N. S. Khodzhaev
A. V. Sidorova
A. V. Starostina
M. A. Eliseeva
author_facet N. S. Khodzhaev
A. V. Sidorova
A. V. Starostina
M. A. Eliseeva
author_sort N. S. Khodzhaev
collection DOAJ
description Because of the unpredictable hypotensive effect and serious complications during continuous-wave cyclophotocoagulation (CW-CPC), the use of this method in the treatment of glaucoma is limited. Therefore, a new technique was developed, known as micropulse trans-scleral cyclophotocoagulation (MP-CPC). During MP-CPC, a series of short bursts of laser pulses deliver energy to the ciliary body at the near-infrared wavelength of 810 nm, which is strongly absorbed by melanin. As shown by experimental studies, there are several acting mechanisms which reduce IOP decrease during MP-CPC. In clinical studies, patients with different forms and stages of glaucoma received laser energy of similar parameters during MP-CPC. It may be concluded that MP-CPC is a safe and effective alternative to traditional CW-CPC. However if laser irradiation directed to the ciliary body during MP-CPC gets longer, the incidence of complications increases. The variation of glaucoma forms in patients who underwent MP-CPC and a relatively small number of cases involved in the studies prevent us from making an unambiguous recommendation of this technique at the moment. An extensive research of the technique is required.
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issn 2072-0076
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publishDate 2020-05-01
publisher Real Time Ltd
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series Российский офтальмологический журнал
spelling doaj-art-90cb4f6770f94de1a4bae9f7f6042c722025-08-03T19:22:33ZrusReal Time LtdРоссийский офтальмологический журнал2072-00762587-57602020-05-0113210511110.21516/2072-0076-2020-13-2-105-111278Micropulse transscleral cyclophotocoagulation for the treatment of glaucomaN. S. Khodzhaev0A. V. Sidorova1A. V. Starostina2M. A. Eliseeva3S.N. Fyodorov Eye Microsurgery NMRCS.N. Fyodorov Eye Microsurgery NMRCS.N. Fyodorov Eye Microsurgery NMRCS.N. Fyodorov Eye Microsurgery NMRCBecause of the unpredictable hypotensive effect and serious complications during continuous-wave cyclophotocoagulation (CW-CPC), the use of this method in the treatment of glaucoma is limited. Therefore, a new technique was developed, known as micropulse trans-scleral cyclophotocoagulation (MP-CPC). During MP-CPC, a series of short bursts of laser pulses deliver energy to the ciliary body at the near-infrared wavelength of 810 nm, which is strongly absorbed by melanin. As shown by experimental studies, there are several acting mechanisms which reduce IOP decrease during MP-CPC. In clinical studies, patients with different forms and stages of glaucoma received laser energy of similar parameters during MP-CPC. It may be concluded that MP-CPC is a safe and effective alternative to traditional CW-CPC. However if laser irradiation directed to the ciliary body during MP-CPC gets longer, the incidence of complications increases. The variation of glaucoma forms in patients who underwent MP-CPC and a relatively small number of cases involved in the studies prevent us from making an unambiguous recommendation of this technique at the moment. An extensive research of the technique is required.https://roj.igb.ru/jour/article/view/425glaucomamicropulse transscleral cyclophotocoagulationliterature reviewsafetyefficiency
spellingShingle N. S. Khodzhaev
A. V. Sidorova
A. V. Starostina
M. A. Eliseeva
Micropulse transscleral cyclophotocoagulation for the treatment of glaucoma
Российский офтальмологический журнал
glaucoma
micropulse transscleral cyclophotocoagulation
literature review
safety
efficiency
title Micropulse transscleral cyclophotocoagulation for the treatment of glaucoma
title_full Micropulse transscleral cyclophotocoagulation for the treatment of glaucoma
title_fullStr Micropulse transscleral cyclophotocoagulation for the treatment of glaucoma
title_full_unstemmed Micropulse transscleral cyclophotocoagulation for the treatment of glaucoma
title_short Micropulse transscleral cyclophotocoagulation for the treatment of glaucoma
title_sort micropulse transscleral cyclophotocoagulation for the treatment of glaucoma
topic glaucoma
micropulse transscleral cyclophotocoagulation
literature review
safety
efficiency
url https://roj.igb.ru/jour/article/view/425
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AT avsidorova micropulsetransscleralcyclophotocoagulationforthetreatmentofglaucoma
AT avstarostina micropulsetransscleralcyclophotocoagulationforthetreatmentofglaucoma
AT maeliseeva micropulsetransscleralcyclophotocoagulationforthetreatmentofglaucoma