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Endoscopic Cyclophotocoagulation (ECP)

Endoscopic Cyclophotocoagulation (ECP). Zvia Burgansky - Eliash The Edith Wolfson Medical Center. Trans-scleral CPC. Iliev BJO 2007. New Strategy. Histology. Lin SC, BJO 2006. The Device. Diode Laser Camera Light source. The Procedure. Limbal incision Usually 2 ports 270 0.

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Endoscopic Cyclophotocoagulation (ECP)

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  1. Endoscopic Cyclophotocoagulation (ECP) Zvia Burgansky - Eliash The Edith Wolfson Medical Center

  2. Trans-scleral CPC Iliev BJO 2007

  3. New Strategy

  4. Histology Lin SC, BJO 2006

  5. The Device • Diode Laser • Camera • Light source

  6. The Procedure • Limbal incision • Usually 2 ports • 2700

  7. The Procedure

  8. Own Experience • 33 eyes, 26 patients • Procedure: • 10 ECP • 20 Phaco/ECP • 3 PPV/ECP

  9. Indications Previous Procedure • 20 POAG • 4 CACG • 2 NVG • 3 post PK gl • 2 congenital glaucoma • 2 traumatic glaucoma • 1 TCP • 8 Trabeculectomy • 2 Valve • 3 Cataract

  10. IOP

  11. # of Drops

  12. VA @ 3M

  13. Complications • One patient - significant inflammation after Phaco/ECP - resolve with steroid treatment

  14. Additional procedure • 6 eyes needed additional procedure to control IOP (5 GDD, 1 TCP) • Successful reduction in IOP was observed in 27 eyes (82%)

  15. Summary • ECP yield in > 40% reduction in IOP and 1.5 less meds • Provides a safe and efficient technique for glaucoma management • Can be used together with phaco in marginally controlled patients or to avoid medical treatment

  16. Phaco/ECP • 626 Phaco/ECP • 81 Phaco Berke – AAO 2006

  17. Thank you!

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