laser cyclophotocoagulation in eyes with ambulatory vision

Jacob T. Wilensky  and J.A. Kammer

University of Illinois at Chicago, Chicago, Illinois, USA

Purpose:  To evaluate the effects of contact transscleral laser cyclophotocoagulation on vision and IOP in eyes with V.A. і 20/80.  Methods:  Retrospective review of 20 eligible patients who underwent laser cyclophotocoagulation and were followed for at least 6 months.  Results:  Mean pre-treatment IOP was 29.6 mm Hg on 3.2 glaucoma medications.  Post-treatment IOP was 18.4 mm Hg on 2.6 meds at 12 months and 18.4 mm Hg on 2.5 meds on last visit (24-36 mos).  Nine patients required additional laser cyclotherapy to achieve these results.  One patient required a seton.  Mean pre-treatment was 20/60 and was unchanged at 12 and 24 mos.  At 12 months 75% of patients had a V.A. within two lines of baseline and no eyes had a V.A. worse than 20/200.  Conclusions:  Laser cyclophoto- coagulation in patients with good V.A. was effective in controlling IOP while maintaining the vision.