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….