DEVELOPMENT OF A MINIATURIZED HIFU DEVICE FOR GLAUCOMA TREATMENT WITH CONFORMAL COAGULATION OF THE CILIARY BODIES

被引:61
作者
Charrel, Thomas [1 ,4 ]
Aptel, Florent [1 ,2 ]
Birer, Alain [1 ]
Chavrier, Francoise [1 ]
Romano, Fabrice [4 ]
Chapelon, Jean-Yves [1 ]
Denis, Philippe [3 ]
Lafon, Cyril [1 ]
机构
[1] Univ Lyon, INSERM, U556, F-69424 Lyon 03, France
[2] Hop Edouard Herriot, Hosp Civils Lyon, Dept Ophthalmol, Lyon, France
[3] Croix Rousse Hosp, Dept Ophthalmol, Hosp Civils Lyon, Lyon, France
[4] EyeTechCare, Rillieux La Pape, France
关键词
High-intensity focused ultrasound; Ocular pathology; Glaucoma; Ciliary bodies; Conformal cyclocoagulation; Medical device; High frequency; Third harmonic; THERAPEUTIC ULTRASOUND; INDUCED LESIONS; TRABECULECTOMY; ABLATION; OUTCOMES; GEL;
D O I
10.1016/j.ultrasmedbio.2011.01.017
中图分类号
O42 [声学];
学科分类号
070206 ; 082403 ;
摘要
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. (E-mail: thomas.charrel@inserm.fr) (C) 2011 World Federation for Ultrasound in Medicine & Biology.
引用
收藏
页码:742 / 754
页数:13
相关论文
共 54 条
  • [21] The National Survey of Trabeculectomy. III. Early and late complications
    Edmunds, B
    Thompson, JR
    Salmon, JF
    Wormald, RP
    [J]. EYE, 2002, 16 (03) : 297 - 303
  • [22] Long-term outcome of initial ciliary ablation with contact diode laser transscleral cyclophotocoagulation for severe glaucoma
    Kosoko, O
    Gaasterland, DE
    Pollack, IP
    Enger, CL
    Wise, JB
    Shields, MB
    Ritch, R
    Liebmann, JN
    Abrams, DA
    Schuman, JS
    Belcher, CD
    [J]. OPHTHALMOLOGY, 1996, 103 (08) : 1294 - 1302
  • [23] Gel phantom for use in high-intensity focused ultrasound dosimetry
    Lafon, C
    Zderic, V
    Noble, ML
    Yuen, JC
    Kaczkowski, PJ
    Sapozhnikov, OA
    Chavrier, F
    Crum, LA
    Vaezy, S
    [J]. ULTRASOUND IN MEDICINE AND BIOLOGY, 2005, 31 (10) : 1383 - 1389
  • [24] Use of a bovine eye lens for observation of HIFU-induced lesions in real-time
    Lafon, Cyril
    Khokhlova, Vera A.
    Kaczkowski, Peter J.
    Bailey, Michael R.
    Sapozhnikov, Oleg A.
    Crum, Lawrence A.
    [J]. ULTRASOUND IN MEDICINE AND BIOLOGY, 2006, 32 (11) : 1731 - 1741
  • [25] Leske MC, 2003, ARCH OPHTHALMOL-CHIC, V121, P48
  • [26] MECHANISM OF INTRAOCULAR-PRESSURE DECREASE AFTER CONTACT TRANSSCLERAL CONTINUOUS-WAVE NDYAG LASER CYCLOPHOTOCOAGULATION
    LIU, GJ
    MIZUKAWA, A
    OKISAKA, S
    [J]. OPHTHALMIC RESEARCH, 1994, 26 (02) : 65 - 79
  • [27] Understanding trabecular meshwork physiology: A key to the control of intraocular pressure?
    Llobet, A
    Gasull, X
    Gual, A
    [J]. NEWS IN PHYSIOLOGICAL SCIENCES, 2003, 18 : 205 - 209
  • [28] MASKIN SL, 1989, OPHTHALMIC SURG LAS, V20, P186
  • [29] THERMAL ABLATION BY HIGH-INTENSITY-FOCUSED ULTRASOUND USING A TOROID TRANSDUCER INCREASES THE COAGULATED VOLUME. RESULTS OF ANIMAL EXPERIMENTS
    Melodelima, David
    N'Djin, William A.
    Parmentier, Hubert
    Chesnais, Sabrina
    Rivoire, Michel
    Chapelon, Jean-Yves
    [J]. ULTRASOUND IN MEDICINE AND BIOLOGY, 2009, 35 (03) : 425 - 435
  • [30] Muratore R, 2006, AIP CONF PROC, V829, P508, DOI 10.1063/1.2205526