ECP - A safe and effective addition to phacoemulsification for patients with glaucoma and cataracts. Selectively ablating ciliary epithelium using low energy under direct observation.
INFLOW and OUTFLOW
Of the four most widely
prescribed categories of glaucoma medications, (beta blockers, alpha agonists, carbonic anhydrase inhibitors, andprostaglandin
analogs), three induce a marked reduction of aqueous production, yet virtually all
glaucoma surgical techniques are designed to increase outflow, either by
external filtration or internal filtration via angle-based procedures.
Endoscopic Cyclophotocoagulation (ECP) is unique in the paradigm of
glaucoma treatments because it is designed to suppress aqueous production, via
controlled low powered laser ablation of the secretory cells of the ciliary
epithelium.
ECP has a clinical history of nearly 20 years. Numerous studies, and published articles
from leading centers around the world have documented the excellent safety and
predictability of ECP.
The technique is used in managing moderate to refractory glaucomas in
over 40 countries around the globe, and Phaco/ECP is the most commonly
performed combined cataract/glaucoma procedure in North America.
ECP offers excellent flexibility.
It can be helpful in reducing IOP of open angle and narrow angle patients, over a wide range of forms of glaucoma, and can be
coupled with angle-based procedures.
ECP can be performed
after trabeculectomy or tube shunts have failed, as it is not dependent on the
status of the conjunctiva.
Additionally, Endoscopy has proven to be a useful addition to glaucoma
surgeon’s tool kits as a diagnostic tool for imaging placement and patency of
tubes below the iris, and to facilitate visualization during various angle
based-procedures.
Endoscopic Gonioscopy can be used to create a distortion free, panoramic (140 Degree Field of View) or magnified image to facilitate other glaucoma surgical procedures, such as…
- Goniotomies on Pediatric Patients with cloudy corneas
- Implanting Shunts/Stents (like Express® or iStent®) in Angle