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Suplement do nr-u 1/2003

Zabiegi cyklodestrukcyjne - alternatywna metoda leczenia obniżającego ciśnienie wewnątrzgałkowe

Cyclodestructive procedures - alternative methods of reducing intraocular pressure

Jerzy Szaflik, Justyna Izdebska, Danuta Zawadzka, Marcin G. Prost

Katedra i Klinika Okulistyki II Wydziału Lekarskiego Akademii Medycznej w Warszawie Samodzielny Publiczny Kliniczny Szpital Okulistyczny w Warszawie Kierownik: prof. dr hab. med. Jerzy Szaflik

Summary: Purpose: the aim of this work is to present types of cyclodestructive procedures, such as glaucomatous surgical methods. We describe the general indications for these procedures, their advantages and disadvantages, possible complications as well as our therapeutic results after treatment with the use of particular methods. Discussion: cyclodestructive procedures could be considered as an alternative method of reducing patient's intraocular pressure instead of surgical and farmacological antiglaucomatous treatment that has proved to fail. However, it has to be mentioned that these methods have a very traumatic course and carry a high rate of side effect incidence. Therefore they should be used as the last chance procedures in order to save the eye ball. Where available, cyclophotocoagulation is the desired effective method of choice for reducing intraocular pressure in non-regulated glaucoma. It carries significantly less morbidity and a lower rate of complication than cyclocryotherapy.

Keywords: cyclodestructive procedures, cyclophotocoagulation, cyclocryotherapy.

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