Outcomes of micropulse transscleral cyclophotocoagulation using different sweep velocity in the treatment of refractory glaucoma.

ABSTRACT: This study compared the efficacy and safety of micropulse transscleral cyclophotocoagulation (MP-TSCPC) using different sweep velocities in refractory glaucoma. Twenty-eight eyes of 28 patients were treated with a slow-sweep protocol (20 s × 4 sweeps per hemisphere, fluence = 104.8 J/cm²), and 29 eyes of 26 patients were treated with a regular-sweep protocol (10 s × 8 sweeps per hemisphere, fluence = 52.4 J/cm²). Patients were evaluated at 1, 3, and 6 months to assess intraocular pressure (IOP), best-corrected visual acuity (BCVA), number of medications, and complications. The regular-sweep group achieved significantly greater mean IOP reduction at 1 month (-12.1 vs. - 4.8 mmHg, P < 0.001) and 3 months (-10.5 vs. - 3.6 mmHg, P = 0.003). At 6 months, no significant cha

SUBMITTER: Jiravarnsirikul A 

PROVIDER: S-EPMC12748536 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature