{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T20:18:11Z","timestamp":1777580291538,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,4,21]],"date-time":"2025-04-21T00:00:00Z","timestamp":1745193600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This study aimed to describe the results of slow-cooking transscleral cyclophotocoagulation (SC-TSCP) with diode laser in patients with refractory glaucoma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective study included 289 eyes of 263 patients who underwent the SC-TSCP technique at the glaucoma service of Oculare Ophthalmology Hospital, Brazil, with a minimum of one year of postoperative follow-up. We analyzed intraocular pressure, number of medications, postoperative complications, visual acuity, need for additional glaucoma surgery, need for repeat sessions of SC-TSCP, and the variables influencing success rates. \u200b\u200bWe used three criteria to analyze the technique's success: 1) Final IOP\u2009\u2264\u200921\u2005mmHg, 2) Final IOP between 6 and 21\u2005mmHg, and 3) Reduction of at least 30% in IOP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Mean IOP dropped from 37.52 (\u00b112.12) mmHg preoperatively to 14.48 (\u00b1 7.56) mmHg at the end of the study (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0001). The average reduction in IOP was 23.04 (\u00b114.00) mmHg, representing a reduction of 61.41% in IOP (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0001). The mean number of medications dropped from 2.98 (\u00b11.43) to 1.79 (\u00b11.50) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0001). Complete success (without eyedrops) was achieved in 25.61%, 18.69%, and 29.41% for each success criterion, and qualified success (with or without eyedrops) was achieved in 79.58%, 68.86%, and 85.43%, respectively. Visual acuity decreased from 1.99 LogMar (Snellen 20\/1954) to 2.11 LogMar (Snellen 20\/2576) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0001). Seventy-two eyes (24.91%) needed a second session, 15 eyes (5.19%) needed a third cyclophotocoagulation, and one eye (0.35%) needed a fourth session. The most common complications were persistent hypotony (8.65%), corneal decompensation (6.23%), loss of light perception (5.88%), and phthisis (2.77%). After cyclophotocoagulation, 86.85% of the eyes did not require additional surgical procedures for IOP control.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The slow-cooking transscleral cyclophotocoagulation technique proved highly effective in the prolonged control of intraocular pressure in severe and refractory glaucoma and demonstrated a favourable safety profile. However, in complex and refractory cases, severe complications such as vision loss or phthisis, although rare, may occur.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11206721251335381","type":"journal-article","created":{"date-parts":[[2025,4,21]],"date-time":"2025-04-21T03:40:46Z","timestamp":1745206846000},"page":"1654-1665","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Continuous wave transscleral cyclophotocoagulation with the slow-cooking protocol to treat refractory glaucomas"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5189-783X","authenticated-orcid":false,"given":"Heloisa Andrade","family":"Maestrini","sequence":"first","affiliation":[{"name":"Oculare Ophthalmology Hospital, Belo Horizonte, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heloisa Helena Abil","family":"Russ","sequence":"additional","affiliation":[{"name":"HR Oftalmologia, Curitiba, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Regina Cele Silveira","family":"Seixas","sequence":"additional","affiliation":[{"name":"OPTY, HCLOE Clinica de Oftalmologia Especializada, Sao Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7142-5055","authenticated-orcid":false,"given":"Marcos","family":"Balbino","sequence":"additional","affiliation":[{"name":"Centro Universit\u00e1rio S\u00e3o Camilo, Sao Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thatiana Almeida Pereira","family":"Fernandes","sequence":"additional","affiliation":[{"name":"Oculare Ophthalmology Hospital, Belo Horizonte, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N\u00fabia Vanessa","family":"Lima","sequence":"additional","affiliation":[{"name":"VisionOne - Hospital de Olhos CBV, Brasilia, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9453-6767","authenticated-orcid":false,"given":"Nara L\u00eddia Vieira","family":"Lopes","sequence":"additional","affiliation":[{"name":"VisionOne - Hospital de Olhos CBV, Brasilia, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luiz Paulo Dias","family":"Mario","sequence":"additional","affiliation":[{"name":"Universidade de Santo Amaro, Santo Amaro, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9182-1044","authenticated-orcid":false,"given":"Taurino dos Santos Rodrigues","family":"Neto","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, University of Sao Paulo, Sao Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,4,21]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6257(96)80023-3"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/ajhp\/62.7.691"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/1120672120914230"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1080\/08820538.2019.1638946"},{"key":"e_1_3_2_6_2","first-page":"35","article-title":"Diode laser cyclophotocoagulation","volume":"7","author":"Gaasterland D","year":"2009","unstructured":"Gaasterland D. 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