Comparative Outcomes Between Micropulse and Slow-Coagulation Transscleral Cyclophotocoagulation in Eyes With Good Visual Acuity

PRCIS: Despite both CW-TSCPC and MP-TSCPC being effective in reducing IOP, with low rates of complications, MP-TSCPC appears to achieve higher success rates with less significant visual acuity loss compared with CW-TSCPC. PURPOSE: To compare the efficacy and safety of continuous wave transscleral cyclophotocoagulation (CW-TSCPC) using the slow-coagulation technique versus micropulse (MP) TSCPC in patients with glaucoma and good visual acuity. PATIENTS AND METHODS: Retrospective multicenter study including patients with logMAR visual acuity (VA) of 2 lines of vision. For criterion A, patients who required a new CPC session during follow-up were considered a failure. For criterion B, the additional need for CPC was not considered a failure. RESULTS: We included a total of 200 eyes from 200 glaucoma patients (110 eyes in the CW-TSCPC and 90 in the MP-TSCPC groups). There was a significant reduction in IOP levels and the number of medications after CPC in both groups ( P