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Introducción: el glaucoma es la primera causa de ceguera irreversible. La endociclofotocoagulación es un procedimiento ciclodestructivo que reduce parcialmente la producción de humor acuoso. El objetivo del estudio es conocer la presencia de cambios ultramicroscópicos en el cuerpo ciliar después de la endociclofotocoagulación. Materiales y métodos: se trata de un estudio prospectivo y longitudinal de 10 ojos (9 pacientes). Se les realizó facoemulsificación y endociclofotocoagulación, realizándose una medición ultramicroscópica antes de la cirugía, una semana y tres meses después de la cirugía. Las mediciones se compararon con ANOVA y prueba de Friedman. La significación estadística fue p < 0.05. Resultados: los valores CBT0, CBTMAX, CBT 100 presentaron reducción en todas las mediciones presentando significancia estadística después de 90 días. No hubo cambios en LV y ACD en las mediciones postoperatorias. Conclusión: existen cambios en las medidas anatómicas del cuerpo ciliar después de la endociclofotocoagulación.
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