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Procedural Treatments: Endoscopic Cyclophotocoagulation

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Pearls of Glaucoma Management

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Abstract

The indication for performing ECP is glaucoma that has been refractory to medical and/or filtering surgery [1–9]. Many types of glaucoma have been treated with ECP, including primary open-angle, pseudo-­exfoliation, neovascular, pediatric, and angle-closure. In a prospective comparative Brazilian study of ECP vs. Ahmed valve in 68 patients with intraocular pressure (IOP) greater than 35 mmHg on maximally tolerated medications, ECP was found to be an effective surgery for various forms of glaucoma with fewer complications. After 24 months follow-up, the probability of success and mean IOP was approximately equal between the two groups. The tube shunt group experienced more choroidal detachments and shallow anterior chambers, while the number of hyphemas was almost equal between groups. More eyes in the ECP group experienced significant inflammation. ECP has also been used in conjunction with cataract extraction as a primary glaucoma surgery [2–4, 10]. However, I do not typically use ECP as a primary glaucoma surgery, either alone or in conjunction with cataract extraction.

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Authors and Affiliations

  1. University of California, San Francisco Medical School, 10 Koret Way, San Francisco, CA, 94143-0730, USA

    Shan C. Lin

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  1. Shan C. Lin
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Correspondence to Shan C. Lin .

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Editors and Affiliations

  1. Jules Stein Eye Institute, Stein Plaza 100, Los Angeles, 90095, U.S.A.

    JoAnn A. Giaconi

  2. Jules Stein Eye Institute, Stein Plaza 100, Los Angeles, 90095, U.S.A.

    Simon K. Law

  3. Jules Stein Eye Institute, Stein Plaza 100, Los Angeles, 90095, U.S.A.

    Anne L. Coleman

  4. Jules Stein Eye Institute, Stein Plaza 100, Los Angeles, 90095, U.S.A.

    Joseph Caprioli

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Lin, S.C. (2010). Procedural Treatments: Endoscopic Cyclophotocoagulation. In: Giaconi, J., Law, S., Coleman, A., Caprioli, J. (eds) Pearls of Glaucoma Management. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68240-0_33

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  • DOI: https://doi.org/10.1007/978-3-540-68240-0_33

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  • Print ISBN: 978-3-540-68238-7

  • Online ISBN: 978-3-540-68240-0

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