TJ-CEO
2017 , Vol 12 , Num 4
Cyclodestructive Surgery in Refractory Glaucoma
Prof.Dr., Eskişehir Osmangazi Üniversitesi Tıp Fakültesi Göz Hastalıkları Anabilim Dalı, Meşelik Kampüsü, Eskişehir - Türkiye
Ciliary body destruction is still considered as a last procedure to reduce intraocular pressure in refractory glaucoma. Several ablation
techniques developed over the years including diathermy, cryotherapy, cyclophotocoagulation, ultrasound, and surgical excision. All
of them reduce intraocular pressure by decreasing aqueous production through destruction of the nonpigmented ciliary epithelium.
Historically, destruction of the ciliary body has been diffi cult to titrate with signifi cant damage to adjacent structures. For this reason
many sight threatening complications may develop. Newer technologies have resulted in improved selective targeting of the ciliary
epithelium with a reduction in the unpredictable complications. Consequently cyclodestructive procedures are now used in mild and
moderate glaucoma to control IOP.
Keywords :
cyclodestructive surgery, cyclophotocoagulation, micropulse laser