- Home
- Medical news & Guidelines
- Anesthesiology
- Cardiology and CTVS
- Critical Care
- Dentistry
- Dermatology
- Diabetes and Endocrinology
- ENT
- Gastroenterology
- Medicine
- Nephrology
- Neurology
- Obstretics-Gynaecology
- Oncology
- Ophthalmology
- Orthopaedics
- Pediatrics-Neonatology
- Psychiatry
- Pulmonology
- Radiology
- Surgery
- Urology
- Laboratory Medicine
- Diet
- Nursing
- Paramedical
- Physiotherapy
- Health news
- Fact Check
- Bone Health Fact Check
- Brain Health Fact Check
- Cancer Related Fact Check
- Child Care Fact Check
- Dental and oral health fact check
- Diabetes and metabolic health fact check
- Diet and Nutrition Fact Check
- Eye and ENT Care Fact Check
- Fitness fact check
- Gut health fact check
- Heart health fact check
- Kidney health fact check
- Medical education fact check
- Men's health fact check
- Respiratory fact check
- Skin and hair care fact check
- Vaccine and Immunization fact check
- Women's health fact check
- AYUSH
- State News
- Andaman and Nicobar Islands
- Andhra Pradesh
- Arunachal Pradesh
- Assam
- Bihar
- Chandigarh
- Chattisgarh
- Dadra and Nagar Haveli
- Daman and Diu
- Delhi
- Goa
- Gujarat
- Haryana
- Himachal Pradesh
- Jammu & Kashmir
- Jharkhand
- Karnataka
- Kerala
- Ladakh
- Lakshadweep
- Madhya Pradesh
- Maharashtra
- Manipur
- Meghalaya
- Mizoram
- Nagaland
- Odisha
- Puducherry
- Punjab
- Rajasthan
- Sikkim
- Tamil Nadu
- Telangana
- Tripura
- Uttar Pradesh
- Uttrakhand
- West Bengal
- Medical Education
- Industry
Micropulse Transscleral Laser Therapy effective for silicone oil-induced glaucoma
New research found that Micro pulse transscleral laser therapy (MP-TLT) is successful in reducing the Intraocular pressure (IOP) in uncontrolled silicone oil–induced glaucoma (SOG). The study was published in the Journal of Glaucoma.
Silicone oil has been used as an adjunct for internal tamponade in the management of complicated retinal detachment which is leading to the development of secondary glaucoma called silicone oil-induced glaucoma. Micropulse transscleral laser therapy is a non-invasive laser procedure that is used to reduce intraocular pressure in glaucoma. Researchers from Tunisia studied a prospective case series of 33 eyes to assess the efficiency and safety of MP-TLT in the management of SOG.
Participants with uncontrolled SOG were enrolled at the Department of Ophthalmology of Mohamed Taher Maamouri Hospital, Nabeul, Tunisia, and were treated with MP-TLT using the IRIDEX Cyclo G6 Glaucoma Laser System with the MicroPulse P3 fiberoptic handheld probe. They also underwent a complete ophthalmologic examination during the 12-month follow-up period.
Results:
- 33 eyes of 33 patients with SOG were included in the study with a mean age was 50.39 years old.
- Out of these, Silicone oil tamponade was indicated for complicated rhegmatogenous retinal detachment in 22 cases, diabetic tractional retinal detachment in 10 cases, and posttraumatic retinal detachment in 1 case.
- Silicone oil was already removed before the procedure in 23 eyes.
- Silicone oil tamponade duration varied between 3 and 26 months.
- Intraocular pressure (IOP) measurements at enrollment; days 1, 7, and 15; and months 1, 3, 6, and 12 were respectively 37.94±13.61, 19.03±10.98, 16.5±6.17, 19.45±9.73, 19.27±8.33, 19.39±9.52, 19.97±10.03, and 19.7±9.58 mm Hg.
- IOP lowering was 45.38% at 6 months and 45% at 12 months.
- There was a 93.93% of success rate at 6 months and remained stable at 12 months.
- There was no phthisis bulbi nor prolonged inflammation or any other type of major side effects observed.
- No difference was noticed in IOP lowering between patients with silicone oil or those after silicone oil removal (P=0.99).
Thus, the researchers concluded that MP-TLT was safe and effectively lowered IOP in uncontrolled SOG.
For further reading, click here: 10.1097/IJG.0000000000002051
Zbiba W, Sayadi S, Kharrat M, Daoued M. Efficacy and Safety of Micropulse Transscleral Laser Therapy in Silicone Oil-induced Glaucoma. J Glaucoma. 2022;31(8):689-693.
BDS, MDS
Dr.Niharika Harsha B (BDS,MDS) completed her BDS from Govt Dental College, Hyderabad and MDS from Dr.NTR University of health sciences(Now Kaloji Rao University). She has 4 years of private dental practice and worked for 2 years as Consultant Oral Radiologist at a Dental Imaging Centre in Hyderabad. She worked as Research Assistant and scientific writer in the development of Oral Anti cancer screening device with her seniors. She has a deep intriguing wish in writing highly engaging, captivating and informative medical content for a wider audience. She can be contacted at editorial@medicaldialogues.in.
Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751