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Cataract and glaucoma are the leading causes of blindness worldwide and commonly coexist in elderly patients. Endocyclophotocoagulation (ECP) is a minimally invasive approach for glaucoma management that is amenable to combination with cataract surgery. We review the literature on ECP and evaluate intraocular pressure reduction efficacy when combined with phacoemulsification. Several studies demonstrate that phacoemulsification and ECP (PECP) successfully reduces intraocular pressure (IOP) and decreases medication burden. PECP has a minimal side effect profile, and risks are limited to those usual post-phacoemulsification. Most importantly, PECP allows for all future procedures including trabeculectomy or tube implantation if necessary.
Ophthalmology, New York University Langone Medical Center, New York, NY, United States.
Full article12.14.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)
12.10 Cyclodestruction (Part of: 12 Surgical treatment)