Enhancing safety of transscleral diode cyclophotocoagulation: Check the tip before use

Abstract

Purpose

To report an unusual case of scleral burn during Transscleral Diode Laser Cyclophotocoagulation (TDLC) caused by pigment on the laser probe tip.

Case Report

A 56-year-old man underwent TDLC for severe glaucoma refractory to conventional treatments. During the procedure, he developed a scleral burn attributed to pigment on the laser probe tip. The burn healed spontaneously with topical treatment alone, highlighting the potential for scleral tissue to heal remarkably without further surgical intervention.

Conclusion

This case report underscores the importance of vigilance during TDLC procedures and careful management of potential pigment sources to prevent scleral damage.

Keywords

Transscleral diode laser cyclophotocoagulation complication scleral burn refractory glaucoma

Get full access to this article

View all access options for this article.

References

Chen

Kim

Coleman

. Cyclodestructive procedures for refractory glaucoma. Cochrane Database Syst Rev 2019; 3: CD012223.

Michelessi

Bicket

Lindsley

. Cyclodestructive procedures for non-refractory glaucoma. Cochrane Database Syst Rev 2018; 4: CD009313.

Billings

Fletcher

Weaver

, et al. Scleral burn and perforation following transscleral cyclophotocoagulation. Am J Ophthalmol Case Rep 2023; 32: 101893.

Bloom

Tsai

Sharma

, et al. “Cyclodiode”. trans-scleral diode laser cyclophotocoagulation in the treatment of advanced refractory glaucoma. Ophthalmology 1997; 104: 1508–1519; discussion 1519-20.

Sabri

Vernon

. Scleral perforation following trans-scleral cyclodiode. Br J Ophthalmol 1999; 83: 502–503.

Palmer

Cohen

Torczynski

, et al. Transscleral diode laser cyclophotocoagulation on autopsy eyes with abnormally thinned sclera. Ophthalmic Surg Lasers 1997; 28: 495–500.

Kwong

Tham

Leung

, et al. Scleral perforation following diode laser trans-scleral cyclophotocoagulation. Eye (Lond) 2006; 20: 1316–1317. Epub 2005 Nov 25.

Amariotakis

Ressiniotis

Voros

, et al. Scleral perforation after trans-scleral cyclodiode laser for intraocular pressure reduction. Clin Exp Ophthalmol 2007; 35: 290–291. PMID: 17430524.