title: The use of endoscopic cyclophotocoagulation for moderate to advanced glaucoma.
abstract: Endoscopic Cyclophotocoagulation (ECP) is a glaucoma surgery designed to reduce the intraocular pressure (IOP) by partially ablating the ciliary processes to decrease aqueous humour production and secretion. The aim of this paper is to review the literature regarding the background, indications and results of the surgery. Although there are case reports of visually devastating complications, including persistent hypotony and phthisis, the use of ECP is often reported in eyes with advanced diseases. When compared with both trabeculectomy and aqueous shunt implantation, the visual outcomes were better with ECP while the IOP outcomes were very similar. The evidence supports ECP as a very effective surgical option in recalcitrant glaucoma while some evidence supports its safety for use as a primary procedure.
authors.affiliation: Department of Ophthalmology, Stony Brook University Medical Center, Stony Brook, New York, USA.
authors.forename: Kevin
authors.initials: K
authors.lastname: Kaplowitz
authors.affiliation: Department of Ophthalmology, Stony Brook University Medical Center, Stony Brook, New York, USA.
authors.forename: Andrew
authors.initials: A
authors.lastname: Kuei
authors.affiliation: Department of Ophthalmology, Stony Brook University Medical Center, Stony Brook, New York, USA.
authors.forename: Britany
authors.initials: B
authors.lastname: Klenofsky
authors.affiliation: Department of Ophthalmology, Stony Brook University Medical Center, Stony Brook, New York, USA.
authors.forename: Azin
authors.initials: A
authors.lastname: Abazari
authors.affiliation: Department of Ophthalmology, Stony Brook University Medical Center, Stony Brook, New York, USA.
authors.forename: Robert
authors.initials: R
authors.lastname: Honkanen
mesh_terms: D001082:Aqueous Humor / Q000378:metabolism; D002924:Ciliary Body / Q000601:surgery*; D004724:Endoscopy; D005901:Glaucoma / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology; D017075:Laser Coagulation / Q000009:adverse effects / Q000379:methods*
keywords: diode; endoscopic cyclophotocoagulation; glaucoma; laser; transscleral