2012
DOI: 10.1136/bmjopen-2011-000578
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‘Phaco–ECP’: combined endoscopic cyclophotocoagulation and cataract surgery to augment medical control of glaucoma

Abstract: ObjectivesDoes phaco–ECP reduce intraocular pressure? Is phaco–ECP safe?DesignRetrospective case note review of all patients undergoing phaco–ECP between June 2008 and June 2009. All glaucoma subtypes were included.SettingSingle District General Hospital Ophthalmology Department within the UK.Participants58 participants case notes reviewed. Mean age 79.0 years (SD ±9.8).InterventionsAll patients received combined cataract surgery and endoscopic cyclophotocoagulation.Outcome measuresFollow-up was 1 day, 1 week,… Show more

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Cited by 64 publications
(70 citation statements)
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“…Some consider that Phaco/ECP is best suited for mild to moderate glaucoma, as the likelihood of achieving lower IOP targets with this procedure were not possible. 8 However, there may be certain subsets of glaucoma where the risk of failure of glaucoma filtration surgery is high. In such cases, Phaco/ECP might be an alternative procedure for reducing IOP and potentially reducing the burden of medications.…”
mentioning
confidence: 99%
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“…Some consider that Phaco/ECP is best suited for mild to moderate glaucoma, as the likelihood of achieving lower IOP targets with this procedure were not possible. 8 However, there may be certain subsets of glaucoma where the risk of failure of glaucoma filtration surgery is high. In such cases, Phaco/ECP might be an alternative procedure for reducing IOP and potentially reducing the burden of medications.…”
mentioning
confidence: 99%
“…However, the advantages of ECP documented above and less catastrophic complications increased the popularity of combined ECP and cataract surgery in patients with useful visual potential. [5][6][7][8] To the best of our knowledge, there are no publications in the peer-reviewed literature on the outcomes of combined phacoemulsification and endocyclophotocoagulation (Phaco/ECP) for advanced glaucomatous damage where lower postoperative IOPs are required and significant postoperative IOP spikes could result in further optic nerve damage or visual loss. Some consider that Phaco/ECP is best suited for mild to moderate glaucoma, as the likelihood of achieving lower IOP targets with this procedure were not possible.…”
mentioning
confidence: 99%
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“…Lima et al compared ECP with Ahmed GDD in the treatment of refractory glaucoma and found no differences in the success rate. Ahmed GDD had a higher complication rate than ECP [116].…”
Section: Discussionmentioning
confidence: 81%
“…There is also a collaborative ECP group with a cumulatively 5824 eyes with follow up 1 to 13 years [9,10]. There are also some UK studies [11,12].…”
Section: Research Articlementioning
confidence: 99%