Ciliary Body Procedures in Glaucoma: A Narrative Review from the Past to the Future

Júlio Almeida; Maria Vivas; Catarina Monteiro; Rafael Barão; Ana Sofia Lopes; Luís Abegão Pinto; Fernando  T. Vaz; Isabel Prieto

doi:10.48560/rspo.32010

Autores

Júlio Almeida Ophthalmology Department, Prof. Doutor Fernando Fonseca Hospital, Lisbon, Portugal https://orcid.org/0000-0002-4651-8812
Maria Vivas Ophthalmology Department, Prof. Doutor Fernando Fonseca Hospital, Lisbon, Portugal https://orcid.org/0000-0003-0116-7251
Catarina Monteiro Ophthalmology Department, Prof. Doutor Fernando Fonseca Hospital, Lisbon, Portugal https://orcid.org/0000-0001-6057-3546
Rafael Barão Ophthalmology Department, Centro Hospitalar Universitário Lisboa Norte, EPE, Lisbon, Portugal https://orcid.org/0000-0002-3102-1969
Ana Sofia Lopes Ophthalmology Department, Prof. Doutor Fernando Fonseca Hospital, Lisbon, Portugal https://orcid.org/0000-0003-4320-3994
Luís Abegão Pinto Ophthalmology Department, Centro Hospitalar Universitário Lisboa Norte, EPE, Lisbon, Portugal; Visual Sciences Study Centre, Faculty of Medicine, University of Lisbon, Portugal https://orcid.org/0000-0002-9960-7579
Fernando T. Vaz Ophthalmology Department, Prof. Doutor Fernando Fonseca Hospital, Lisbon, Portugal https://orcid.org/0000-0003-1635-6872
Isabel Prieto Ophthalmology Department, Prof. Doutor Fernando Fonseca Hospital, Lisbon, Portugal https://orcid.org/0000-0001-7094-817X

DOI:

https://doi.org/10.48560/rspo.32010

Palavras-chave:

Ablação por Ultrassom Focalizado de Alta Intensidade, Corpo Ciliar, Coagulação Laser, Glaucoma

Resumo

Os procedimentos do corpo ciliar têm sido usados no glaucoma por muitas décadas. Reduzem a pressão intraocular ao reduzir a produção de humor aquoso. Inicialmente, as técnicas desenvolvidas, como a ciclocrioterapia, tinham altas taxas de complicações e eram reservadas apenas para os casos de glaucoma avançado e refratário. Nos últimos anos, outros procedimentos como a ciclofotocoagulação laser (endoscópica e transcleral) e os cicloprocedimentos por ultrassons têm substituído técnicas mais antigas devido à sua maior segurança. Reconhecemos que tem havido um grande progresso ao longo dos anos, passando de técnicas agressivas com complicações pós-operatórias graves a procedimentos com excelente perfil de segurança e eficácia. As suas indicações estão em constante evolução e mais estudos são necessários para elucidar qual o timing ideal de tratamento e quais os parâmetros mais adequados. Esta revisão tem como objetivo avaliar o papel atual dos cicloprocedimentos no tratamento do glaucoma, descrever as modalidades existentes e comparar as técnicas mais usadas.

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Cicloprocedimentos no Glaucoma: Uma Revisão Narrativa do Passado ao Futuro

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