Comparison of the Effectiveness and Safety of Transscleral Cyclophotocoagulation and Endoscopic Cyclophotocoagulation in Pediatric Glaucoma

Kraus, Courtney L.; Tychsen, Lawrence; Lueder, Gregg T.; Culican, Susan M.

doi:10.3928/01913913-20140211-01

Cited by 30 publications

(54 citation statements)

References 16 publications

(11 reference statements)

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“…Overall, 53% of patients achieved success (defined as IOP < 24 mmHg and IOP reduction > 15% with or without medications). Contrary to these results, a retrospective chart review study by Kraus et al [ 70 ] found that ECP is an effective option in pediatric glaucoma cases. The authors compared data from 52 eyes of 43 patients who underwent ECP and 72 eyes of 56 patients who underwent transcleral CPC.…”

Section: Techniques and Evidence On Efficacymentioning

confidence: 81%

Cyclodestructive Procedures in Glaucoma: A Review of Current and Emerging Options

et al. 2018

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The first surgical modalities to reduce aqueous humor production by damaging the ciliary body date back to the early twentieth century. Until recently, however, cyclodestructive procedures (e.g., cyclocryotherapy and transscleral diode laser photocoagulation) have been reserved as last option procedures in refractory glaucoma patients with poor visual potential. Emerging technologic innovation has led to the development of promising, safer and less destructive techniques, such as micropulse diode cyclophotocoagulation, endoscopic cyclophotocoagulation and ultrasound cyclodestruction. Consequently, an emerging paradigm shift is under way with the selection of these surgical options in eyes with less severe glaucoma and good visual potential. Although existing evidence has not, as yet, adequately defined the role and value of these procedures, their emergence is a welcome expansion of available options for patients with moderate-to-severe glaucoma. This article reviews the pertinent evidence on both established and evolving cyclodestructive techniques and describes their growing role in the management of glaucoma.

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Section: Techniques and Evidence On Efficacymentioning

confidence: 81%

Cyclodestructive Procedures in Glaucoma: A Review of Current and Emerging Options

et al. 2018

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“…[17][18][19][20][21][22] Endoscopic CPC (ECP) studies in veterinary ophthalmology are lacking, but studies comparing transscleral CPC (TSCP) and ECP in pediatric glaucoma did not show a significant difference in surgical outcome, both offering a moderate long-term IOP control (66.7% and 62% success respectively). 23 At present, diode laser glaucoma therapy, TSCP, and ECP are used for the treatment of primary and secondary glaucoma in canine, feline, and equine patients.…”

Section: Cyclophotocoagulationmentioning

confidence: 99%

Surgical Treatment of Canine Glaucoma

Bras¹,

Maggio²

2015

Veterinary Clinics of North America: Small Animal Practice

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“…Sie fanden eine Drucksenkung von ca. 29 % bei ts-CPC und 33 % bei ECP ohne einen statistisch signifikanten Unterschied und einem vertretbaren Risikoprofil [28]. Die wohl größten Nachteile der ECP sind der invasive Charakter dieses intraokulären Eingriffs, die Anschaffungs-und Unterhaltskosten und eine flache Lernkurve im Vergleich zu transskleralen Verfahren.…”

Section: Endoskopische Zyklophotokoagulationunclassified

Zyklodestruktive Verfahren zur Senkung des Augeninnendrucks – eine Übersicht

Jurjevic

Funk

Töteberg‐Harms

2017

Klin Monatsbl Augenheilkd

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The only therapy for glaucoma, for which there is sufficient evidence, is the lowering of intraocular pressure. Intraocular pressure reduction can be achieved by an improvement in outflow or a reduction of aqueous humor production. Surgically, a reduction of aqueous humor production can be achieved by cyclodestructive procedures. This article provides a brief summary of the different cyclodestructive procedures. The efficacy of cyclophotocoagulation is well documented. The risk profile has been reduced by changes in the laser protocols. Serious complications described in early studies (e.g., visual loss) rarely occur nowadays. The indication spectrum of cyclophotocoagulation has expanded from end-stage glaucoma to glaucoma with good visual acuity. Even the use of cyclodestructive procedures in pediatric glaucoma has gained acceptance. A promising next generation of micropulsed diode lasers could further reduce the risk profile with the same effectiveness. The non-inferiority of micropulse cyclophotocoagulation versus the established procedures has been proven in early studies. However, studies with long-term follow-up and on side-effects are still lacking. Furthermore, a standardized laser protocol must be established.

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Comparison of the Effectiveness and Safety of Transscleral Cyclophotocoagulation and Endoscopic Cyclophotocoagulation in Pediatric Glaucoma

Abstract: TSCP and ECP are safe, effective, and comparable treatments for pediatric glaucomas. The results suggest that TSCP and ECP may be considered first-line therapy to achieve control of IOP in all forms of pediatric glaucoma. [J Pediatr Ophthalmol Strabismus 2014;51(2):120-127.].

Cited by 30 publications

References 16 publications

Cyclodestructive Procedures in Glaucoma: A Review of Current and Emerging Options

Cyclodestructive Procedures in Glaucoma: A Review of Current and Emerging Options

Surgical Treatment of Canine Glaucoma

Zyklodestruktive Verfahren zur Senkung des Augeninnendrucks – eine Übersicht

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