Glaucoma, one of the leading causes of blindness, is usually first managed medically, with incisional surgery as a second step. Noninvasive glaucoma procedures attempt to fill the gap between medical and surgical treatments and may work synergistically with them. High-intensity focused ultrasound induces a selective and controlled thermal ablation of the distal part of the ciliary body, and this effect is independent from the degree of tissue pigmentation with limited damage to adjacent structures. This selective and innovative treatment decreases intraocular pressure by reducing aqueous humor production and by increasing uveoscleral outflow. We review the current literature on the use of high-intensity focused ultrasound in glaucoma, exploring present use, safety, efficacy, and future clinical applications.

High-intensity focused ultrasound procedure : the rise of a new noninvasive glaucoma procedure and its possible future applications / C. Posarelli, G. Covello, A. Bendinelli, P. Fogagnolo, M. Nardi, M. Figus. - In: SURVEY OF OPHTHALMOLOGY. - ISSN 0039-6257. - 64:6(2019), pp. 826-834. [10.1016/j.survophthal.2019.05.001]

High-intensity focused ultrasound procedure : the rise of a new noninvasive glaucoma procedure and its possible future applications

P. Fogagnolo;
2019

Abstract

Glaucoma, one of the leading causes of blindness, is usually first managed medically, with incisional surgery as a second step. Noninvasive glaucoma procedures attempt to fill the gap between medical and surgical treatments and may work synergistically with them. High-intensity focused ultrasound induces a selective and controlled thermal ablation of the distal part of the ciliary body, and this effect is independent from the degree of tissue pigmentation with limited damage to adjacent structures. This selective and innovative treatment decreases intraocular pressure by reducing aqueous humor production and by increasing uveoscleral outflow. We review the current literature on the use of high-intensity focused ultrasound in glaucoma, exploring present use, safety, efficacy, and future clinical applications.
ciliary body; cycloablation and cyclodestruction; cycloplasty; high-intensity focused ultrasound; open angle and refractory glaucoma
Settore MED/30 - Malattie Apparato Visivo
2019
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/675320
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