The authors suggest a new type of transscleral cyclophotocoagulation by using the Nd:YAG laser. This was done by bringing fibre optics into contact with the sclera. The study illustrates the macroscopic, histologic and scanning electron microscopic changes produced on the ciliary body of rabbit eyes with this technique. The actual possibility and the future prospect of applying this method to the human eye still remain to be investigated.
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[Clinical use and results of trans-scleral Nd-YAG cyclophotocoagulation in therapy-refractory glaucoma].
Klin Monbl Augenheilkd
March 1991
Augenklinik, Universität Würzburg.
We report on our results of transscleral Nd-YAG-cyclophotocoagulation on 27 eyes with refractory glaucoma. Cyclophotocoagulation was performed with similar parameters according to our findings of morphological investigation in normal human donor eyes. 9 eyes had hemorrhagic glaucoma, 10 eyes had secondary glaucoma after intraocular silicone oil tamponade because of proliferative diabetic retinopathy or because of complicated retinal detachment with proliferative vitreoretinopathy.
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