Cataract Extraction Combined with Endoscopic Cyclophotocoagulation

Combined endoscopic cyclophotocoagulation and phacoemulsification versus phacoemulsification alone in the treatment of mild to moderate glaucoma

“…ECP technique has been described previously in numerous studies. [2][3][4][5][6]14,15 In our case series, following the completion of the usual phacoemulsification procedure via a temporal clear cornea incision, a cohesive sodium hyaluronate ophthalmic viscosurgical device (OVD) is injected posterior to the iris, but anterior the lens capsule. Using this technique to inflate the sulcus allows for the majority of the length of each ciliary process to be visualized.…”

“…Since then, lasers utilizing either a transcleral or transpupillary route have been used for reduction of IOP. Despite the advantage of IOP reduction, various cyclodestructive techniques share common complications including pain, uveitis, prolonged hypotony, haemorrhage, choroidal effusion and postoperative loss of vision . Endoscopic cyclophotocoagulation (ECP) is a more recent and Food and Drug Administration‐approved technique developed by Martin Uram to achieve the same IOP‐lowering benefits, but without such an extensive complication profile .…”

“…Endoscopic cyclophotocoagulation (ECP) is a more recent and Food and Drug Administration‐approved technique developed by Martin Uram to achieve the same IOP‐lowering benefits, but without such an extensive complication profile . This technique reduces complications as compared with external cyclodestructive procedures by obtaining direct visualization of the ciliary epithelium so that the diode laser energy can be delivered more precisely, sparing the surrounding tissues . Several long‐term studies have shown that ECP is both a safe and effective method of lowering IOP, especially in patients with mild to moderate medically controlled glaucoma.…”

“…Despite the advantage of IOP reduction, various cyclodestructive techniques share common complications including pain, uveitis, prolonged hypotony, haemorrhage, choroidal effusion and postoperative loss of vision. 2 Endoscopic cyclophotocoagulation (ECP) is a more recent and Food and Drug Administration-approved technique developed by Martin Uram to achieve the same IOP-lowering benefits, but without such an extensive complication profile. 3 This technique reduces complications as compared with external cyclodestructive procedures by obtaining direct visualization of the ciliary epithelium so that the diode laser energy can be delivered more precisely, sparing the surrounding tissues.…”

“…3 This technique reduces complications as compared with external cyclodestructive procedures by obtaining direct visualization of the ciliary epithelium so that the diode laser energy can be delivered more precisely, sparing the surrounding tissues. [2][3][4] Several long-term studies have shown that ECP is both a safe and effective method of lowering IOP, especially in patients with mild to moderate medically controlled glaucoma. Many of these same studies have also demonstrated the efficacy of ECP on lowering IOP when combined with phacoemulsification (phaco).…”