Holmium laser sclerostomy in glaucoma management: a new tool for an old procedure.
Identifieur interne : 000064 ( Ncbi/Curation ); précédent : 000063; suivant : 000065Holmium laser sclerostomy in glaucoma management: a new tool for an old procedure.
Auteurs : A G Iwach ; H D HoskinsSource :
- Bulletin de la Société belge d'ophtalmologie [ 0081-0746 ] ; 1992.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- chemical : Holmium.
- methods : Laser Therapy.
- surgery : Glaucoma, Sclera.
- Follow-Up Studies, Humans.
Abstract
A THC: YAG laser (thulium, holmium, chromium doped YAG crystal) was used to create thermal sclerostomies in 49 glaucomatous eyes of 46 patients. The laser is a long-pulsed (300 microseconds), compact, self contained, solid state laser operating in the near infrared (2.1 mu). A 1 mm conjunctival stab incision was made 12 mm away from the sclerostomy site to allow entry of a specially designed 22-gauge (712 mu) optic probe that delivers energy at a right angle to the long axis of the fiber. Probe insertion produced minimal disturbance of the conjunctiva. Pulse energies of 80 mJ tot 120 mJ were used with a repetition rate of 5 pulses/sec. Total energy levels to produce full-thickness sclerostomies ranged from 1.4 to 7.2 J. Subconjunctival 5-fluorouracil injections were administered in 46 eyes. Estimated probability of success was 74% at 6 months and 67% at 12 months. Mean intraocular pressure of successful cases was 13.3 mmHg at both both 6 months & 12 months. Twelve cases failed within the initial 6 months, and two additional cases failed by 12 months.
PubMed: 1297514
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