Middle East African Journal of Ophthalmology

GLAUCOMA SURGERY UPDATE
Year
: 2015  |  Volume : 22  |  Issue : 1  |  Page : 18--24

Endoscopic cyclophotocoagulation


Leonard K Seibold, Jeffrey R SooHoo, Malik Y Kahook 
 Department of Ophthalmology, University of Colorado Eye Center, Aurora, CO 80045, USA

Correspondence Address:
Leonard K Seibold
University of Colorado Eye Center, 1675 Aurora Court, Mail Stop F 731, P.O. Box 6510, Aurora, CO 80045
USA

In recent years, many new procedures and implants have been introduced as safer alternatives for the surgical treatment of glaucoma. The majority of these advances are implant-based with a goal of increased aqueous drainage to achieve lower intraocular pressure (IOP). In contrast, endoscopic cyclophotocoagulation (ECP) lowers IOP through aqueous suppression. Although ciliary body ablation is a well-established method of aqueous suppression, the novel endoscopic approach presents a significant evolution of this treatment with marked improvement in safety. The endoscope couples a light source, video imaging, and diode laser to achieve direct visualization of the ciliary processes during controlled laser application. The result is an efficient and safe procedure that can achieve a meaningful reduction in IOP and eliminate or reduce glaucoma medication use. From its initial use in refractory glaucoma, the indications for ECP have expanded broadly to include many forms of glaucoma across the spectrum of disease severity. The minimally-invasive nature of ECP allows for easy pairing with phacoemulsification in patients with coexisting cataract. In addition, the procedure avoids implant or device-related complications associated with newer surgical treatments. In this review, we illustrate the differences between ECP and traditional cyclophotocoagulation, then describe the instrumentation, patient selection, and technique for ECP. Finally, we summarize the available clinical evidence regarding the efficacy and safety of this procedure.


How to cite this article:
Seibold LK, SooHoo JR, Kahook MY. Endoscopic cyclophotocoagulation.Middle East Afr J Ophthalmol 2015;22:18-24


How to cite this URL:
Seibold LK, SooHoo JR, Kahook MY. Endoscopic cyclophotocoagulation. Middle East Afr J Ophthalmol [serial online] 2015 [cited 2022 May 23 ];22:18-24
Available from: http://www.meajo.org/article.asp?issn=0974-9233;year=2015;volume=22;issue=1;spage=18;epage=24;aulast=Seibold;type=0