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The last option for pain management - combined cryo-technique in blind eyes with absolute glaucoma

Marin Marinov, Ralitsa Neykova, Dimitar Grupchev, Dobrin Boyadjiev, Christina Grupcheva

Abstract

AIM: To evaluate the efficiency and safety of simultaneous, combined cryotherapy and alcohol injection in cases of secondary neovascular glaucoma with absolute vision loss and intolerable pain syndrome. Ocular pain due to glaucoma can be complex and difficult to treat. Therapy consists of topical and systemic pres­sure lowering agents, anti-inflammatory drugs, analgesics, surgical procedures - cyclocryotherapy, retro­bulbar alcohol injection, enucleation or evisceration.

MATERIALS AND METHODS: We present 35 patients diagnosed with absolute glaucoma and treated with a combined technique - cyclocryotherapy and retrobulbar alcochol 96% 1ml injection. Verbal Analog Score (VAS) was used to evaluate the pain.

RESULTS: All of the patients (100%) were pain-free 12 months after the procedure. No significant long-term complications were observed.

CONCLUSION: This case study highlights that cyclocryotherapy combined with retrobulbar alcohol can play a significant role in the management of pain in patients with absolute glaucoma.


Keywords

pain, retrobulbar alcohol, cyclocryotherapy, absolute glaucoma, neovascular glaucoma

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DOI: http://dx.doi.org/10.14748/ssm.v49i2.3807

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About The Authors

Marin Marinov
Medical University of Varna
Bulgaria

Department of Ophthalmology and Visual Sciences, Faculty of Medicine

Ralitsa Neykova
Medical University of Varna
Bulgaria

Department of Ophthalmology and Visual Sciences, Faculty of Medicine

Dimitar Grupchev
Medical University of Varna
Bulgaria

Department of Ophthalmology and Visual Sciences, Faculty of Medicine

Dobrin Boyadjiev
Medical University of Varna
Bulgaria

Department of Ophthalmology and Visual Sciences, Faculty of Medicine

Christina Grupcheva
Medical University of Varna
Bulgaria

Department of Ophthalmology and Visual Sciences, Faculty of Medicine

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