[Trans scleral cyclophotocoagulation with diode laser, modern method of treatment in cyclodestructive surgery].

PURPOSE: To analyze the results in lower IOP using cyclophotocoagulaton with diode laser in a refractory glaucoma series of cases (standard protocol).

METHOD: 23 eyes from 23 subjects, watched for 6 months (preliminary results). Power 1600 mW, exposure 500 ms, wave 810 nm. The parameters who had been watched: IOP, VA, neovascularization, corneal oedema, epitelial breaks, pain and photophobia.

RESULTS

IOP had changed from 32.08 mm Hg to 20.47 mm Hg. VA had been stationary in 65.2% cases; decreased in 30.43% and increased in 4.34% cases; 43.47% subjects needed just another laser session and 13.04% needed two another interventions. Average sessions 1.69; average power 18.08 W; average applications 22.6.

CONCLUSIONS

The protocol used, repeated in need, seems to be sure and efficient in lower IOP and in ocular pain relief in refractory glaucoma cases with minimum VA.