To evaluate the success rates of transscleral diode cyclophotocoagulation (TD-
CPC) for refractory secondary
glaucoma in a paediatric patient with
juvenile idiopathic arthritis. Report of a case of a 6-year-old boy suffering from severe
uveitis, and
secondary open angle glaucoma. The patient had undergone bilateral
cataract surgery, two prior
trabeculectomies in the left and one in the right eye. He was under systemic
immunomodulation with
methotrexate and
cyclosporine. He presented with medically uncontrolled
glaucoma, with an intraocular pressure (IOP) of 36 and 34 mmHg in the right and left eye, respectively, under maximal medical antiglaucoma
therapy. TD-
CPC was performed under
general anesthesia, including a total of 20 spots in the right and 34 in the left eye (2,000 mW, 2 s/spot) applied in one session. Visual acuity remained stable in the right eye and deteriorated in the left eye from 0.1 to no light perception. Postoperative hypotony was present 1 month post op and IOP was 14 mmHg in the left and 17 mmHg in the right eye, respectively, in the 6-month follow-up with a topical beta-blocker. The anterior chamber was quiet in both eyes. TD-
CPC was effective in the short term as IOP lowering
therapy in a pediatric patient with refractory uveitic
glaucoma.