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ECP ‐ limbal & pars plana techniques
Author(s) -
Bloom P.
Publication year - 2017
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2017.02124
Subject(s) - medicine , pars plana , intraocular pressure , glaucoma , ophthalmology , refractory (planetary science) , glaucoma surgery , vitrectomy , surgery , neovascular glaucoma , visual acuity , physics , astrobiology , diabetic retinopathy , diabetes mellitus , endocrinology
Summary Cyclo‐photocoagulation is a well‐recognised and powerful therapeutic modality for the reduction of intraocular pressure. Externally applied laser treatment (TransScleral Cyclo‐Photocoagulation, TSCP ) may cause collateral destruction of local tissue and can induce considerable inflammation so until recently the use of diode laser cyclo‐photocoagulation was restricted to poorly sighted eyes. Endoscopically applied diode laser (Endoscopic Cyclo‐Photocoagulation, ECP ) is a newer, more controlled, titratable, minimally destructive treatment that treats only the target tissue. One of the first MIGS procedures, ECP allows for a quick and simple additional step to be added to routine cataract surgery (Phaco‐ ECP ), offering the potential to treat cataract and glaucoma simultaneously. In addition, ECP is of considerable value in treating cases of advanced, refractory glaucoma; this area will be discussed in detail during this part of the symposium, via both limbal and pars plana approaches. ECP may be used before or instead of drainage device surgery, or afterward to further augment IOP control.