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Ultrasound Med Biol. 2011 May;37(5):742-54. doi: 10.1016/j.ultrasmedbio.2011.01.017. Epub 2011 Mar 25.

Development of a miniaturized HIFU device for glaucoma treatment with conformal coagulation of the ciliary bodies.

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1
Inserm, U556, Université de Lyon, Lyon, France. thomas.charrel@inserm.fr

Abstract

This study examined the feasibility of high-intensity focused ultrasound (HIFU) for glaucoma treatment with conformal coagulation of the ciliary bodies (CB). A miniaturized high frequency (21 MHz) device was developed, based on the geometry of the eye and adapted to the anatomy of the rabbit eyeball. Six line-focus lesions were distributed along a circle and produced by six cylindrical transducers. To be conformal, the numerical model predicted an intensity of 6.9 W/cm(2), with exposure duration of 3 s ON (powered per sector). In vivo experiments were conducted on two rabbits. A significant intraocular pressure reduction was noted (-45% and -31%). Histology demonstrated conformal and homogeneous coagulation of the CB without side effects.

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