Endoscopic laser cyclophotocoagulation in pediatric glaucoma with corneal opacities

Endoscopic and Transscleral Cyclophotocoagulation for the Treatment of Refractory Glaucoma

“…[46][47][48][49] As expected in pediatric cases, the success rate is not as high as in adult cases and there is a greater risk for serious complications. Neely and Plager 46 treated 36 eyes of 29 pediatric patients with various childhood glaucomas.…”

“…[41][42][43][44][45][46][47][48][49] The types of glaucoma included primary open-angle, pseudo-exfoliation, neovascular, pediatric, and angle-closure. Lima et al 45 found ECP to be an effective surgery for various forms of glaucoma in comparison with Ahmed valve placement.…”

“…A newer method to directly photocoagulate the ciliary body under endoscopic guidance-known as endoscopic CPC (ECP)-has become an increasingly important weapon in the glaucoma surgeon's armamentarium for the treatment of refractory glaucomas [41][42][43][44][45][46][47][48][49] and may have distinct advantages over the transscleral approach in eyes with visual potential. A classification of the modern techniques and lasers to achieve cyclodestruction is provided in Table 1 along with laser treatment parameters.…”

Cyclophotocoagulation versus sequential tube shunt as a secondary intervention following primary tube shunt failure in pediatric glaucoma

“…Pediatric studies of transscleral diode cyclophotocoagulation have noted success rates of 37%-75%, but with frequent need for re-treatment 17-19,22. Endoscopic cyclophotocoagulation has reduced the energy required to perform the procedure, with the advantage of direct visualization of the ciliary processes in cases with corneal opacities 30. However, success rates with endocyclophotocoagulation have been similar to transscleral diode cyclophotocoagulation, with single treatment success rates of 34%-38% noted with endocylophotocoagulation 20-21…”

Application of new ophthalmic technology in the pediatric patient

“…In contrast, Al-Haddad and Freedman [41 ] reported results of similar endoscopic diode cycloablation treatment in 12 eyes with a variety of diagnoses, including Peters anomaly, trauma, and congenital glaucoma. All eyes had undergone previous surgery, including failed glaucoma laser or surgery.…”