Long-term visual outcome of transscleral laser cyclotherapy in eyes with ambulatory vision

Ophthalmology. 2004 Jul;111(7):1389-92. doi: 10.1016/j.ophtha.2003.11.008.

Abstract

Objective: To determine the long-term visual acuity (VA) outcome of eyes with ambulatory vision (20/80 or better) that were treated with transscleral laser cyclotherapy.

Design: Observational case series.

Participants: Twenty-one eyes of 21 patients who had been treated with laser cyclotherapy and who had been followed up at least 1 year.

Methods: A retrospective chart review was conducted to record the prelaser best-corrected VA and then the last available post laser VA and duration of follow-up. Additional laser or surgical interventions for glaucoma control were also recorded.

Main outcome measures: Changes in VA from pretreatment to last available examination.

Results: The 21 eyes were followed for a mean of 40.7 months (range, 13-88 months); 17 eyes had a final vision within 1 line of the prelaser VA. One eye improved 3 lines, and 3 eyes deteriorated 3 or more lines.

Conclusions: Most eyes with 20/80 or better VA maintained close to that acuity after laser cyclotherapy after a mean follow-up of 40.7 months. These good visual results offer support for those who believe that the indications for laser cyclotherapy should not be limited to eyes with poor VA or potential.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Ambulatory Care
  • Ciliary Body / surgery*
  • Female
  • Follow-Up Studies
  • Glaucoma / surgery*
  • Humans
  • Intraocular Pressure
  • Laser Coagulation / methods*
  • Male
  • Middle Aged
  • Retrospective Studies
  • Sclera
  • Visual Acuity / physiology*