EC Ophthalmology

Introduction: The ultrasound ciliary plasty has a mechanism of action comparable to other cyclodestructive procedures, as it lowers IOP by destruction of the ciliary processes and lowering the aqueous production. In this study we aim to analyse the safety and efficacy of this method and its associated complications, as well as the resulting need of hypotensive medication and percentage of IOP reduction.

Methods: This is a retrospective, transversal, analytic, observational study in which we analyzed the records of patients treated with UCP at the Central Military Hospital with a follow-up of 6 months, and the post operative findings on day 1, 7, 30, 3 months and 6 months, during the period from May 1^st to November 30^th 2022.

Results: Our sample had 31 eyes from 22 patients with an average of 3.31 hypotensive medication, which was lowered to 1.6. 59% of our patients had some kind of complication. The mean basal IOP was 19.19 mmHg, which lowered to 11.31 mmHg during the first week, 12.86 mmHg on the first month, 12.30 mmHg at the third month and 12.13 mmHg at the 6^th month.

Conclusion: UCP is efficient as a method to lower IOP in patients who cannot achieve IOP goals even with maximum hypotensive therapy. It can be used as a first line surgical procedure and allows retreatment, as well as being useful as adjuvant therapy. Nevertheless, it is not exempt from complications although they are mild and temporary.

 Keywords: Glaucoma; Intraocular Pressure; Ciliary Plasty; Ultrasound

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