AI Summary & Key Takeaways
AI InsightTALC may be an effective treatment alternative for lowering IOP in patients with visible ciliary processes who do not respond to conventional medical or laser treatment
📌 3 Key Takeaways
Abstract
We present a case of transpupillary argon laser cyclophotocoagulation (TALC) in a patient with traumatic aniridia and aphakia secondary to blunt trauma who had previous bilateral trabeculectomy. Four months after the trauma the patient's intraocular pressure (IOP) rose to 35 mmHg despite topical antiglaucomatous medication. Inferior 180 degrees cyclophotocoagulation was performed with transpupillary argon laser in the first session and his IOP fell to values of 12-17 mmHg. Twelve weeks after TALC, his IOP rose to 22 mmHg and we had to apply TALC to the residual ciliary processes. Seven months later his IOP was 13 mmHg with topical dorzolamide-timolol and latanoprost administration. TALC may be an effective treatment alternative for lowering IOP in patients with visible ciliary processes who do not respond to conventional medical or laser treatment
Özet
Biz çalışmamızda, daha önce her iki gözden trabekülektomi geçirmiş, künt travmaya sekonder travmatik aniridi ve afakili bir hastada transpupiller argon lazer siklofotokoagülasyonun (TALS) sonucunu göstermeyi amaçladık. Travmadan 4 ay sonra topikal antiglokomatöz tedaviye rağmen göz içi basıncı (GİB) 35 mmHg'ye yükselen olguya ilk seansta transpupiller argon lazer ile alt 180 dereceye siklofotokoagülasyon uygulandı ve GİB 12-17 mmHg arasında seyretti. TALS'den 12 hafta sonra GİB 22 mmHg'ye yükseldi ve geri kalan siliyer uzantılara da TALS uygulandı. Yedi ay sonra GİB, topikal dorzolamid-timolol ve latanoprost damla ile 13 mmHg idi. TALS, konvansiyonel tıbbi tedaviye veya lazer tedavisine cevap vermeyen, görülebilir siliyer prosesleri olan hastalarda GİB'yi düşürmede etkili bir alternatif tedavi metodu olabilir