High-Intensity Focused Ultrasound Treatment in Refractory Glaucoma Patients: Results at 1 Year of Prospective Clinical Study

2015 ◽  
Vol 25 (6) ◽  
pp. 483-489 ◽  
Author(s):  
Shlomo Melamed ◽  
Modi Goldenfeld ◽  
Daniel Cotlear ◽  
Alon Skaat ◽  
Iris Moroz
2016 ◽  
Vol 255 (3) ◽  
pp. 599-605 ◽  
Author(s):  
Giuseppe Giannaccare ◽  
A. Vagge ◽  
C. Gizzi ◽  
A. Bagnis ◽  
S. Sebastiani ◽  
...  

2017 ◽  
Vol 2017 ◽  
pp. 1-14 ◽  
Author(s):  
Rodolfo Mastropasqua ◽  
Vincenzo Fasanella ◽  
Alessandra Mastropasqua ◽  
Marco Ciancaglini ◽  
Luca Agnifili

The ciliary body ablation is still considered as a last resort treatment to reduce the intraocular pressure (IOP) in uncontrolled glaucoma. Several ablation techniques have been proposed over the years, all presenting a high rate of complications, nonselectivity for the target organ, and unpredictable dose-effect relationship. These drawbacks limited the application of cyclodestructive procedures almost exclusively to refractory glaucoma. High-intensity focused ultrasound (HIFU), proposed in the early 1980s and later abandoned because of the complexity and side effects of the procedure, was recently reconsidered in a new approach to destroy the ciliary body. Ultrasound circular cyclocoagulation (UC3), by using miniaturized transducers embedded in a dedicated circular-shaped device, permits to selectively treat the ciliary body in a one-step, computer-assisted, and non-operator-dependent procedure. UC3 shows a high level of safety along with a predictable and sustained IOP reduction in patients with refractory glaucoma. Because of this, the indication of UC3 was recently extended also to naïve-to-surgery patients, thus reconsidering the role and timing of ciliary body ablation in the surgical management of glaucoma. This article provides a review of the most used cycloablative techniques with particular attention to UC3, summarizing the current knowledge about this procedure and future possible developments.


2013 ◽  
Vol 52 (7S) ◽  
pp. 07HF01 ◽  
Author(s):  
Ryuta Narumi ◽  
Kosuke Matsuki ◽  
Shigeru Mitarai ◽  
Takashi Azuma ◽  
Kohei Okita ◽  
...  

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