advertisement
Abstract #22138 Published in IGR 10-4
Endoscopic cyclophotocoagulation: An overview and Asian perspective
Goh E-S; Lim BA; Yip LInternational Journal of Ophthalmology 2008; 8: 1756-1760
Surgical treatment of glaucoma has been classified as cyclodestructive (reducing inflow) or filtering (increasing outflow). Cyclodestructive procedures have traditionally been reserved for eyes with poor visual prognoses and refractory glaucomas including post-trauma, aphakia, congenital and developmental glaucoma. Since Uram described the first use of endoscopic cyclophotocoagulation (ECP) in 1992, short and long-term outcomes for ECP have been promising. In the present article, we conduct a Pubmed search and review of published English literature on endoscopic cyclophotocoagulation and comparison with limited results in a single Singapore ophthalmic tertiary hospital. Safety and efficacy of ECP and combined phacoemulsification-ECP procedures in treatment of pediatric and adult glaucomas of various etiologies and severities is reported. Local short-term unpublished results from a single Singapore tertiary ophthalmic service is reported and concurs with previously published results. Published reports and current experience with ECP has demonstrated that ECP with direct visualization of the target tissues avoids the complications associated with blind trans-scleral cyclophotocoagulation by applying optimum energy to target tissue ciliary epithelium with endoscopic visualization and infrared laser wavelength application. Significant financial barriers exist to introducing this service. It is safe and effective in controlling IOP and reducing reliance on anti-glaucoma medications. Wide-spread acceptance and use of this technique awaits large-scale randomized controlled studies.
Dr. E.-S. Goh, Department of Ophthalmomlogy, Tan Tock Seng Hospital, 11 Jin Tan Tock Seng Road, Singapore 308433, Singapore. eshawng@yahoo.co.uk
