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December 1965

Technique of Semipenetrating Cyclodiathermy Puncture

Author Affiliations

Durham, NC
From McPherson Hospital, 1110 W Main St, Durham, NC.

Arch Ophthalmol. 1965;74(6):813-814. doi:10.1001/archopht.1965.00970040815017

It is now exactly 20 years since I introduced semipenetrating cyclodiathermy puncture as an operation for uncomplicated chronic simple glaucoma (Arch Ophthal34:161-168, 1945). Up to that time, at least in this country, cyclodiathermy, mostly in the form of surface diathermy, had been used only for desperate cases, which had not responded to filtering operations.

Since then numerous reports on the results of cyclodiathermy by other surgeons have appeared. Some were favorable, others were entirely negative, the latter including poor results and severe complications, such as corneal ulcers, cataract, retinal detachment, and phthisis bulbi.

My own experience during the past 20 years and that of my associates who have followed the technique outlined in my original presentation failed to confirm these negative reports. Our results have been reasonably good and severe complications rare.

I have become convinced that the great variation in the results reported by others is due