Acta Scientific Ophthalmology (ISSN: 2582-3191)

Case Report Volume 3 Issue 8

Micro-pulse Diode Laser Transcleral Cyclophotocoagulation- A Rescue in Therapeutic Exhaustion

Meena Menon1, Shreeshruthi N2*, Anand Balasubramaniam3 and Harshavardhan VK2

1Head, Glaucoma Services, Sankara Eye Hospital, Bengaluru, India
2Fellow, Department of Glaucoma, Sankara Eye Hospital, Bengaluru, India
3Consultant, Cornea Services, Sankara Eye Hospital, Bengaluru, India

*Corresponding Author: Shreeshruthi N, Fellow, Department of Glaucoma, Sankara Eye Hospital, Bengaluru, India.

Received: July 18, 2020; Published: July 28, 2020

×

Abstract

 Essential iris atrophy (EIA) is one of the most common irido-corneal endothelial syndromes, predominantly characterised by progressive iris stromal atrophy leading to iris hole formation and secondary glaucoma. Predominantly unilateral in affection, glaucoma is refractory to both medical and surgical management. We hereby report a rare case of association of EIA with primary open angle glaucoma (POAG). Glaucoma progressed with the maximum medical treatment and surgical intervention. Micro-pulse diode laser transcleral cyclophotocoagulation (MP-TSCPC) proves effective in control of intra-ocular pressure (IOP) in refractory glaucomas, especially in eyes with good central vision.

Keywords: Essential Iris Atrophy; Irido-corneal Endothelial Syndrome; Primary Open Angle Glaucoma; Micro-pulse Diode Laser Transcleral Cyclophotocoagulation

×

References

  1. Chandran P., et al. “Glaucoma associated with iridocorneal endothelial syndrome in 203 Indian subjects”. Plos One3 (2017): e0171884.
  2. Yanoff M. “Iridocorneal endothelial syndrome: unification of a disease spectrum”. Survey of Ophthalmology 24 (1979): 1-2.
  3. Harms C. “Eiseitige spontane Lukenbildung ber Iris durch Atrophic ohne mechanische Zerrung”. Klinische Monatsblatter fur Augenheilkunde 41 (1903): 522.
  4. Campbell DG., et al. “The corneal endothelium and the spectrum of essential iris atrophy”. American Journal of Ophthalmology 86 (1978): 317-324.
  5. Shields MB., et al. “The essential iris atrophies”. American Journal of Ophthalmology 85 (1978): 749-759.
  6. Shields textbook of ophthalmology Edited by: R. Rand Allingham, Karim Damji, Sharon Freedman, Sayoko Moroi, George Shafranov Published by: Lippincott Williams and Wilkins- USA sixth Edition (Indian Edition) (2011).
  7. Frederick MR and Richard KP. “Atypical angle closure”. Current Opinion on Ophthalmology 19 (2008): 107-114.
  8. Doe EA., et al. “Long-term surgical outcomes of patients with glaucoma secondary to the iridocorneal endothelial syndrome”. Ophthalmology 108 (2001): 1789-1795.
  9. Shah P., et al. “Safety and Efficacy of Diode Laser Transscleral Cyclophotocoagulation in Eyes with Good Visual Acuity”. Journal of Glaucoma10 (2018): 874-879.
  10. Williams AL., et al. “Clinical efficacy and safety profile of micropulse transscleral cyclophotocoagulation in refractory glaucoma”. Journal of Glaucoma 27 (2018): 445-449.
  11. Ahmed M Abdelrahman., et al. “Micropulse Versus Continuous Wave Transscleral Cyclophotocoagulation in Refractory Pediatric Glaucoma”. Journal of Glaucoma 27.10 (2018): 900-905.
×

Citation

Citation: Meena Menon, Shreeshruthi N, Anand Balasubramaniam and Harshavardhan VK. “Micro-pulse Diode Laser Transcleral Cyclophotocoagulation- A Rescue in Therapeutic Exhaustion". Acta Scientific Paediatrics 3.8 (2020): 37-40.




Metrics

Acceptance rate35%
Acceptance to publication20-30 days
ISI- IF1.042
JCR- IF0.24

Indexed In




News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is July 10, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US