Ophthalmic Surgery, Lasers and Imaging Retina

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Case Reports 

Transscleral Diode Laser Cyclophotocoagulation in a Patient With Ocular Cicatricial Pemphigoid

Sacha P. Moore, FRCOphth; Anthony Spiteri, MRCOphth; Adam Booth, FRCOphth

Abstract

ABSTRACT

The authors present a case of secondary glaucoma associated with silicone oil in a patient with ocular cicatricial pemphigoid successfully managed with transscleral diode laser cyclophotocoagulation. Six months following treatment, the patient remained satisfied and free of pain, with an intraocular pressure of 24 mm Hg without topical drops or oral acetazolamide. There was no evidence of exacerbation of ocular cicatricial pemphigoid and no adjustment was required to the patient’s immunosuppressive therapy. This case suggests that transscleral diode laser cyclophotocoagulation may be safely used to control raised intraocular pressure in patients with ocular cicatricial pemphigoid without causing an exacerbation of the condition. [Ophthalmic Surg Lasers Imaging 2009;40:593-596.]

Abstract

ABSTRACT

The authors present a case of secondary glaucoma associated with silicone oil in a patient with ocular cicatricial pemphigoid successfully managed with transscleral diode laser cyclophotocoagulation. Six months following treatment, the patient remained satisfied and free of pain, with an intraocular pressure of 24 mm Hg without topical drops or oral acetazolamide. There was no evidence of exacerbation of ocular cicatricial pemphigoid and no adjustment was required to the patient’s immunosuppressive therapy. This case suggests that transscleral diode laser cyclophotocoagulation may be safely used to control raised intraocular pressure in patients with ocular cicatricial pemphigoid without causing an exacerbation of the condition. [Ophthalmic Surg Lasers Imaging 2009;40:593-596.]

Authors

From the Royal Eye Infirmary, Plymouth, United Kingdom.

Accepted for publication September 18, 2008.

The authors have no financial or proprietary interest in the materials presented herein.

Address correspondence to Sacha P. Moore, FRCOphth, Ophthalmology Department, The Queen Elizabeth Hospital, Adelaide, SA 5011, Australia.

10.3928/15428877-20091030-11

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