Comparison of ultrasound cycloplasty and transscleral cyclophotocoagulation for refractory glaucoma in Chinese population

Abstract Background To compare the efficacy and safety of focused ultrasound cycloplasty (UCP) and transscleral cyclophotocoagulation (TSCP) in the treatment of refractory glaucoma in a Chinese population. Methods We retrospectively compared twenty-eight eligible patients with refractory glaucoma, w...

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Main Authors: Qiuli Yu, Ya Liang, Fangfang Ji, Zhilan Yuan
Format: Article
Language:English
Published: BMC 2020-09-01
Series:BMC Ophthalmology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12886-020-01655-y
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author Qiuli Yu
Ya Liang
Fangfang Ji
Zhilan Yuan
author_facet Qiuli Yu
Ya Liang
Fangfang Ji
Zhilan Yuan
author_sort Qiuli Yu
collection DOAJ
description Abstract Background To compare the efficacy and safety of focused ultrasound cycloplasty (UCP) and transscleral cyclophotocoagulation (TSCP) in the treatment of refractory glaucoma in a Chinese population. Methods We retrospectively compared twenty-eight eligible patients with refractory glaucoma, who were divided into the UCP group and TSCP group. Patients in these two groups underwent a corresponding procedure from June 2018 to February 2019. The intraocular pressure (IOP), visual acuity, the number of anti-glaucoma agents used and complications were reviewed and compared between groups. Proper statistical methods were selected according to comparison models under IBM SPSS 25 software. Results After the 12-months follow-up, postoperative IOP and number of anti-glaucoma agents used in the two groups were both reduced than the baseline level, and the differences were statistically significant (P < 0.05). There were no significant differences in IOP, number of anti-glaucoma agents and the best-corrected visual acuity between the two groups at each follow-up time point (P>0.05). In terms of complications, the pain at 1 day after surgery in the UCP group was significantly milder than that in the TSCP group (P < 0.05). And there were no significant differences in other complications between the two groups (P > 0.05). Conclusions Both UCP and TSCP are safe and effective methods for the treatment of refractory glaucoma. Nevertheless, pain is less severe after UCP.
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spelling doaj.art-698c9f01cbb4472f9fc5681b684d27b52022-12-21T17:59:23ZengBMCBMC Ophthalmology1471-24152020-09-012011710.1186/s12886-020-01655-yComparison of ultrasound cycloplasty and transscleral cyclophotocoagulation for refractory glaucoma in Chinese populationQiuli Yu0Ya Liang1Fangfang Ji2Zhilan Yuan3Department of Ophthalmology, The First Affiliated Hospital of Nanjing Medical UniversityDepartment of Ophthalmology, The First Affiliated Hospital of Nanjing Medical UniversityDepartment of Ophthalmology, The second affiliated hospital of Soochow UniversityDepartment of Ophthalmology, The First Affiliated Hospital of Nanjing Medical UniversityAbstract Background To compare the efficacy and safety of focused ultrasound cycloplasty (UCP) and transscleral cyclophotocoagulation (TSCP) in the treatment of refractory glaucoma in a Chinese population. Methods We retrospectively compared twenty-eight eligible patients with refractory glaucoma, who were divided into the UCP group and TSCP group. Patients in these two groups underwent a corresponding procedure from June 2018 to February 2019. The intraocular pressure (IOP), visual acuity, the number of anti-glaucoma agents used and complications were reviewed and compared between groups. Proper statistical methods were selected according to comparison models under IBM SPSS 25 software. Results After the 12-months follow-up, postoperative IOP and number of anti-glaucoma agents used in the two groups were both reduced than the baseline level, and the differences were statistically significant (P < 0.05). There were no significant differences in IOP, number of anti-glaucoma agents and the best-corrected visual acuity between the two groups at each follow-up time point (P>0.05). In terms of complications, the pain at 1 day after surgery in the UCP group was significantly milder than that in the TSCP group (P < 0.05). And there were no significant differences in other complications between the two groups (P > 0.05). Conclusions Both UCP and TSCP are safe and effective methods for the treatment of refractory glaucoma. Nevertheless, pain is less severe after UCP.http://link.springer.com/article/10.1186/s12886-020-01655-yUltrasound cycloplasty (UCP)Transscleral cyclophotocoagulation (TSCP)Refractory glaucomaIntraocular pressure (IOP)
spellingShingle Qiuli Yu
Ya Liang
Fangfang Ji
Zhilan Yuan
Comparison of ultrasound cycloplasty and transscleral cyclophotocoagulation for refractory glaucoma in Chinese population
BMC Ophthalmology
Ultrasound cycloplasty (UCP)
Transscleral cyclophotocoagulation (TSCP)
Refractory glaucoma
Intraocular pressure (IOP)
title Comparison of ultrasound cycloplasty and transscleral cyclophotocoagulation for refractory glaucoma in Chinese population
title_full Comparison of ultrasound cycloplasty and transscleral cyclophotocoagulation for refractory glaucoma in Chinese population
title_fullStr Comparison of ultrasound cycloplasty and transscleral cyclophotocoagulation for refractory glaucoma in Chinese population
title_full_unstemmed Comparison of ultrasound cycloplasty and transscleral cyclophotocoagulation for refractory glaucoma in Chinese population
title_short Comparison of ultrasound cycloplasty and transscleral cyclophotocoagulation for refractory glaucoma in Chinese population
title_sort comparison of ultrasound cycloplasty and transscleral cyclophotocoagulation for refractory glaucoma in chinese population
topic Ultrasound cycloplasty (UCP)
Transscleral cyclophotocoagulation (TSCP)
Refractory glaucoma
Intraocular pressure (IOP)
url http://link.springer.com/article/10.1186/s12886-020-01655-y
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