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Only a few reports exist on the treatment of therapy-resistant inflammatory glaucoma with contact transscleral cyclophotocoagulation (CPC), and only one in which the red 647nm krypton or 670nm diode lasers are used. The lasers most frequently employed in clinical practice are the 810nm diode and the 1,064nm neodynium:yttrium–aluminium–garnet (Nd:YAG) lasers. Although transmission through the sclera is lower with the red 647nm krypton and 670nm diode lasers than with the infrared 810nm diode and Nd:YAG lasers, this is compensated for by using contact application and compressing the sclera with the probe. Also, the red lasers have a higher affinity for the pigment epithelium of the pars plicata. Transscleral red laser CPC has proved to be an effective, simple and well tolerated procedure for the treatment of therapy-resistant inflammatory glaucoma, particularly in adults.

Therapy-resistant Inflammatory Glaucoma – 647nm Krypton and 670nm Diode Lasers for Transscleral Contact Cyclophotocoagulation