Ultrasound ciliary plasty in glaucoma treatment: A long‐term follow‐up study

• Published in: Acta ophthalmologica (Oxford, England) England), 2023-05, Vol.101 (3), p.293-300
• Main Authors: Bolek, Bartłomiej, Wylęgała, Adam, Wylęgała, Edward
• Format: Article
• Language: English
• Subjects: Acuity; Antiglaucoma Agents; Ciliary Body - diagnostic imaging; Ciliary Body - surgery; Complications; cyclodestruction; Edema; Follow-Up Studies; Glaucoma; Glaucoma - diagnosis; Glaucoma - drug therapy; Glaucoma - surgery; Glaucoma, Open-Angle - diagnosis; Glaucoma, Open-Angle - surgery; High-Intensity Focused Ultrasound Ablation - methods; high‐intensity focused ultrasound; Humans; Intraocular Pressure; Postoperative; Postoperative Complications; Retrospective Studies; Statistical analysis; Success; Treatment Outcome; Ultrasonic imaging; Ultrasound; ultrasound ciliary Plasty
• ISSN: 1755-375X; 1755-3768
• DOI: 10.1111/aos.15290

Purpose The present study aimed to evaluate the efficacy and safety of ultrasound ciliary plasty (UCP) in patients with open‐angle glaucoma for three consecutive years. Methods Sixty‐one patients (62 eyes) with primary and secondary glaucoma were enrolled to undergo UCP. The primary outcome measures were intraocular pressure (IOP) reduction, success rates, glaucoma medication use and visual acuity after UCP. An IOP reduction of 20% compared to the baseline value without re‐intervention was considered a successful treatment. Complete success was defined as cessation of antiglaucoma medications. Secondary outcome measures included intraoperative and postoperative complications. Measurements were performed preoperatively and at the first week, and 1, 3, 6, 12, 18, 24, 30 and 36 months postoperatively. Results A total of 41 patients (41 eyes) were evaluated 36‐month after UCP. The mean ± SD values of IOP preoperatively at 1 day, 1 week, 1; 3; 6; 12; 18; 24; 30 and 36 months postoperatively were 22.7 ± 5.0 mmHg, 17.1 ± 4.2 mmHg (p