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Trabeculectomy offers better intraocular pressure reduction in intrapatient comparison to transscleral cyclophotocoagulation

Graefe's Archive for Clinical and Experimental Ophthalmology Sep 11, 2019

Paul C, et al. - Since trabeculotomy (TE) and transscleral endodiode laser cyclophotocoagulation (CPC) are common approaches in glaucoma surgery, researchers conducted an intraindividual comparison of these procedures conducted in the same patient on the same day by the same surgeon. Eighty-two eyes of 41 patients (mean age was 68.7 ± 9.5 years) were included in this observational monocentric retrospective cohort study. Compared with fellow eyes receiving CPC, trabeculectomy has been shown to be more efficient in decreasing IOP. In particular, an additional TE in the CPC-treated eyes was necessary in younger patients. However, the outcome of these secondary TEs was comparable to the TEs that were primarily carried out. Therefore, the research promotes the use of CPC as an instrument for IOP control, particularly in the context of bilateral refractive glaucoma.
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