Combined endoscopic cyclophotocoagulation and phacoemulsification <i>versus</i> phacoemulsification alone in the treatment of mild to moderate glaucoma

Siegel, Michael E.; Boling, Whitney; Faridi, Omar S.; Gupta, Chirag; Kim, Chaesik; Boling, Richard C; Citron, Matthew E.; Siegel, Marc J.; Siegel, Les I.

doi:10.1111/ceo.12510

Cited by 78 publications

(72 citation statements)

References 17 publications

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“…Endocyclophotocoagulation (ECP) can be combined with cataract extraction to theoretically reduce aqueous humor production. Only modest IOP reduction and reduction in medication use has been observed in several studies [20][21][22], but with few adverse events identified. Nevertheless, these IOP reductions were observed over up to 36 months postoperatively.…”

Section: Adjunctive Proceduresmentioning

confidence: 98%

Glaucoma and cataract surgery

Shah

Law

Ahmed

2016

Current Opinion in Ophthalmology

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Although the challenges of performing cataract extraction on glaucoma patients exist, the potential benefit to these patients is substantial. With attention to pre- and perioperative surgical planning and intraoperative technique, as well as with awareness and potential utilization of novel devices and treatment strategies, cataract extraction offers a unique platform for anatomical and functional improvement in this increasingly common cohort of patients.

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Section: Adjunctive Proceduresmentioning

confidence: 98%

Glaucoma and cataract surgery

Shah

Law

Ahmed

2016

Current Opinion in Ophthalmology

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“…At 36 months, the combined procedure group had significantly higher success rate at 61.4% vs. 23.3% and much lower dependence on medication at 0.2 vs. 1.2 [48].…”

Section: Endoscopic Cyclophotocoagulation (Ecp)mentioning

confidence: 89%

Minimally Invasive Modalities for Treatment of Glaucoma: An Update

Lee¹,

Amoozgar²,

Han³

2017

J Clin Exp Ophthalmol

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Purpose of Review: In recent years, Minimally Invasive Glaucoma Surgery (MIGS) and laser-based procedures have been gaining popularity as glaucoma treatment options. As such, they represent active areas of research. This article reviews some of the notable recent and forthcoming developments in this field. Recent Findings:The MIGS devices and cyclophotocoagulation have been focused on achieving satisfactory success rate as either combined with phacoemulsification or standalone procedure. They also have superior safety profile when compared to traditional incisional glaucoma surgeries. In addition to the promising data available thus far, more comprehensive investigations on the long-term efficacy and safety of these interventions are currently underway.Summary: New minimally invasive surgical modalities have shown considerable potential in intraocular pressure (IOP) and the number of post-surgical medications with rare complications. The rising popularity of these devices and procedures may represent a shift in treatment paradigm from medical therapy towards earlier surgical intervention, especially in the treatment of mild-to-moderate glaucoma.

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“…High‐resolution ultrasonographic assessment of iridocorneal angle and ciliary cleft structures may be of additional benefit when assessing surgical candidates . The potential for combined surgical procedures that aim to address not only lenticular opacity through phacoemulsification but also to minimize the risk of postoperative glaucoma through the concurrent application of IOP‐lowering techniques such as the inclusion of gonioimplants or the addition of limited ‘prophylactic’ cyclophotocoagulation (CPC) has recently been discussed . It is conceivable that endoscopic CPC may exert beneficial effects not only although a reduction in aqueous production but also by reducing the abrasion of reactive ciliary tissues against the lens capsule.…”

Section: Discussionmentioning

confidence: 99%

“…16 The potential for combined surgical procedures that aim to address not only lenticular opacity through phacoemulsification but also to minimize the risk of postoperative glaucoma through the concurrent application of IOP-lowering techniques such as the inclusion of gonioimplants or the addition of limited 'prophylactic' cyclophotocoagulation (CPC) has recently been discussed. [17][18][19][20] It is conceivable that endoscopic CPC may exert beneficial effects not only although a reduction in aqueous production but also by reducing the abrasion of reactive ciliary tissues against the lens capsule. The inclusion of adjunctive surgical procedures, however, also increases the potential risk of surgical complication and controlled studies to further assess these factors are warranted.…”

Section: Discussionmentioning

confidence: 99%