Argon laser photocoagulation is Effective in children for tr
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A Study was conducted to assess the safety and efficacy of argon laser photocoagulation as a new modality for the treatment of presumed trematode-induced granulomatous anterior uveitis (PTGAU) in children.

48 eyes of 48 children with PTGAU with pearl-like nodule(s) in the anterior chamber were included in this prospective non-randomised controlled clinical trial. The patients were divided into two groups: those in Group A (23 eyes) were treated with one session of argon laser applied to the anterior chamber nodules and those in Group B (25 eyes) received medical treatment in the form of topical steroid and cycloplegic eye drops with trans-septal triamcinolone injections. All cases were followed up for 3 months with measurement of visual acuity (VA), assessment of the anterior chamber reaction and measurement of the pearl-like nodule size.

Results:
--In Group A, 22 eyes (95.65%) showed regression of the pearl-like nodules with resolution of the anterior chamber reaction (flare and cells) and improvement in visual acuity from 0.52±0.12 to 0.06±0.08 logMAR.

--Such improvement was maintained within the 3-month follow-up period. In Group B, 23 eyes (92%) showed initial regression of the granulomas, which was maintained in only 14 eyes (56%), with nine eyes experiencing recurrence after 3 months of follow-up.

Conclusively, Argon Laser Photocoagulation is an effective and safe innovative treatment in the children's anterior chamber for PTGAU with perl-likened nodules. In order to corroborate these results, further investigations with extensive follow-up periods are required.

Source: https://bjo.bmj.com/content/early/2021/06/17/bjophthalmol-2021-318796?rss=1
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