Diode laser cyclophotocoagulation for nanophthalmic chronic angle closure glaucoma

Purpose: To retrospectively evaluate the results of diode laser cyclophotocoagulation (CPC) in patients with nanophthalmos. Methods: The data on all bilaterally nanophthalmic patients who underwent diode laser CPC in our department between 2004 and 2012 were retrieved and evaluated. Results: Four patients fulfilled study entry criteria. All 4 were females aged 58, 62, 68, and 74 years. The mean preoperative intraocular pressure of 46±5.7 mm Hg dropped to 16.2±1.5 mm Hg at the final follow-up visit (43.5±16 mo). Visual acuity did not change in 2 patients and slightly worsened in the other 2. Choroidal detachment was observed in all patients between 7 and 14 days after the procedure and lasted for 1 to 2 months, resolving spontaneously in 2 patients and following systemic steroid treatment in the other 2. Conclusions: Diode laser CPC was an effective treatment for patients with glaucoma secondary to nanophthalmos.