Ciliary Body as a Therapeutic Target

  • Jeffrey A. KammerEmail author


The concept of cilioablation has been around for nearly 100 years. Unfortunately, the early forms of cyclodestruction were saddled with a high rate of visual loss and phthisis bulbi. Over time, there have been incremental changes in technology that have facilitated better results with a lower incidence of deleterious side effects. The diode laser is one such innovation that has revolutionized how cyclodestruction is performed. The risk-benefit profile is strong enough that there has been an expansion of the indications for using cyclophotocoagulation. With the advent of endoscopic cyclophotocoagulation, some clinicians are even using this technology in patients with early glaucoma. More recently, there have been additional ciliodestructive (i.e., micropulse diode laser) or ciliomodulating (i.e., high-intensity focused ultrasound) techniques that have the potential to be equally effective as diode laser cyclophotocoagulation with much less peripheral tissue damage.


Ciliary Body Cystoid Macular Edema Glaucoma Medication Selective Laser Trabeculoplasty Neovascular Glaucoma 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.





Intraocular pressure

Supplementary material

Video 4.1

This is a video of Dr. Steven Vold performing transscleral diode cyclophotocoagulation. (video courtesy of Steven Vold, M.D., Rogers, AK) (MOV 1137 kb)

Video 4.2

This is a video of Dr. Malik Kahook performing endoscopic cyclophotocoagulation. This technique facilitates precise targeting of the ciliary processes with minimal collateral damage. Notice the opacification and contraction of the ciliary processes as he “paints” the tissue with laser energy (video courtesy of Malik Kahook, M.D., Aurora, CO) (MOV 1137 kb)


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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Department of Ophthalmology and Visual SciencesVanderbilt Eye Institute, Vanderbilt University Medical CenterNashvilleUSA

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