Use of Transscleral Laser in the Management of Glaucoma - Ophthalmology

Abstract

Fidel Angel Nivelo Roman, Daniela Alejandra Fagua Lara, Andres Felipe Ramos Andrade, Cristina Isabel Balmaceda Herrera, Andres Steven Restrepo Londono, Dayanis Pena Beleno, Paula Alejandra Vallejo Grandas and Luis Javier Corredor Antolinez

Glaucoma is a pathology classed in the neuropathologies presented to the optic degree, of a chronic nature that structurally damages the connective tissue of the optic nerve head, in the presence of decreased neural tissue, where a progressive loss of nerve fibers is generated. The retina, excavation of the same and pallor of the pupil and consequently the beginning of usable deterioration, affecting the visual field, associated in most cases with alterations in intraocular pressure related to the development, progression and severity of the same. The drainage mechanism of the eye is located in the anterior part of the chamber angle, which in classic conditions is delegated from drainage of 83% to 93% through the different channels such as Schlemn’s canal, the trabecular meshwork, the intrascleral canals, and both episcleral and conjunctival veins, in addition there are secondary drainage pathways which are a mechanism named uveoscleral drainage system which are delegated to drain the rest of the humor. Cyclophotocoagulation is an appropriate treatment option for the treatment of painful and refractory absolute glaucoma, since it preserves the ocular anatomy, relieves symptoms and reports improvements in intraocular pressure and the symptoms presented in these patients in post-intervention monitoring.

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