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Cyclodestruction

  • Ta Chen Peter Chang
  • Karen M. Joos
Chapter

Abstract

Over the past six decades, cyclodestructive techniques have been used in glaucomatous eyes with intraocular pressure (IOP) uncontrolled by medication and/or incisional surgery. With the advances of endoscopic imaging and laser technology, greater tissue specificity can be achieved with the modern diode laser, resulting in IOP-lowering effect with less tissue damage. The indications, techniques, outcomes, and potential complications for both transscleral and endoscopic cyclophotocoagulation are described in this chapter.

Keywords

Transscleral Endoscopic Cyclophotocoagulation Cyclodestruction Childhood Pediatric Glaucoma Refractory Ciliary processes 

Notes

Acknowledgment

The authors thank Dr. Anna Junk (Bascom Palmer Eye Institute, Miami Veterans Affairs Healthcare System, Miami FL, USA) for sharing her intraoperative video of endocyclophotocogulation.

Supplementary material

Video 8.1

Transscleral cyclophotocoagulation . The footplate of the laser probe is placed at the limbus, while laser is activated by a foot pedal and applied to the ciliary body. A pair of fine-toothed forceps helps to rotate the eye during the procedure (MP4 13975 kb)

Video 8.2

Endoscopic cyclophotocoagulation . The tip of the endoprobe is positioned from the ciliary body such that about four to five ciliary processes are visible on the screen at any given time. Laser is applied to the ciliary processes until shrinkage and whitening occur without rupture of ciliary processes or bubble formation. (Courtesy of Anna K. Junk, MD, Bascom Palmer Eye Institute, University of Miami, Miami FL, USA) (© Anna K. Junk) (MOV 4978 kb)

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Copyright information

© Springer Nature Switzerland AG 2018

Authors and Affiliations

  1. 1.Bascom Palemr Eye Institute, University of Miami Miller School of MedicineMiamiUSA
  2. 2.Vanderbilt Eye InstituteVanderbilt Univeristy Medical CenterNashvilleUSA

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