Type of Surgery

Information

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Last updated: 02/17/2009

Risks

The risks of this procedure are greater than for other types of glaucoma treatment. The most common side effect is pain after the procedure. A common risk of CCT is hypotony, which is a low level of fluid in the eye that can lead to phthisis bulbi,...

a condition in which the fluid level in the eye reaches a dangerously low level, such that the integrity of the eye is compromised. Other risks to consider are retinal detachment, inflammation of the iris, cataract formation, macular edema, and swelling of the cornea. The risk of inflammation within the eye is greater for diabetics. Loss of visual acuity, including total vision loss, is an associated risk of any of the previously mentioned risks and occurs in up to 67% of patients.

Patients with darker irises will have more side effects from this procedure, and pediatric patients with aniridia, or no iris, also have an increased rate of complications. Individuals who are aphakic, meaning they have had cataract extraction without a subsequent intraocular lens implantation, have fewer complications than patients with an intact lens.



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Other Information

Cyclocryotherapy (CCT) is a procedure that employs temperatures as low as -112°F (-80°C) to destroy the ciliary body, an organ in the anterior chamber of the eye behind the iris, which produces aqueous fluid. A certain amount of fluid is required to maintain the integrity of the eye, but an increase in intraocular fluid leads to an elevation in intraocular pressure (IOP); elevated IOP is a major cause of glaucoma. Ablation, or destruction, of part of the ciliary body lowers the IOP by decreasing the fluid or aqueous humor within the eye and thus helping to control glaucoma. The main purpose of CCT is to treat uncontrolled or refractory glaucoma. It is also used to reduce ocular pain in some patients with end-stage glaucoma.


From http://www.enotes.com/surgery-encyclopedia/cyclocryotherapy

Other Information

Surgeons aim for results of 20/20 or better so that you can perform most daily activities without your glasses. However, there is a possibility that after surgery, you may need to wear reading glasses or corrective lenses for at least some activities.


-Eye Surgery Education Council

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