LASER THERAPY IN GLAUCOMA
R.NANDHINI
• Contraindications: 1.Significant corneal edema 2.Flat AC 3.Completely closed angle 4.Angle closure glaucoma not caused by
pupillary block
CYCLOPHOTOCOAGULATION
• Destroy ciliary body to reduce aqueous production
• Lasers -diode -nd:yag
CPC
Indications: 1.Pain caused by high IOP in eye with little or
no visual potential 2.Unable to undergo filtering surgery for
medical reasons 3.Failed piror filtering surgery and/or at high
risk of failure for repeat filtering surgery
Preoperative treatment: Retrobulbar anesthesiaPostoperative treatment: 1. Patch for 24 hrs 2.Atropine 1% bid and Pred Forte 1% q 2 hrs
WA gradually tapered over several weeks 3. Resume glaucoma medications except
miotics
Complications: Corneal graft rejection Hyphema Vitreous hemorrhage Cataract Suprachoroidal hemorrhage Serous choroidal effusion Sympathetic ophthalmia
THANK YOU….