laser therapy in treatment of glaucoma

1. LASER THERAPY IN
GLAUCOMA
R.NANDHINI

14. • Contraindications:
1.Significant corneal edema
2.Flat AC
3.Completely closed angle
4.Angle closure glaucoma not caused by
pupillary block

18. CYCLOPHOTOCOAGULATION
• Destroy ciliary body to reduce aqueous
production
• Lasers
-diode
-nd:yag

19. 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

20. Preoperative treatment:
Retrobulbar anesthesia
Postoperative 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

21. Complications:
Corneal graft rejection
Hyphema
Vitreous hemorrhage
Cataract
Suprachoroidal hemorrhage
Serous choroidal effusion
Sympathetic ophthalmia

22. THANKYOU….