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The use of endoscopic cyclophotocoagulation in the treatment of glaucoma - a literature review

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Aug 06, 2025

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Figure 1.

Schematic representation of an ophthalmic endoscope used to perform ECP
Schematic representation of an ophthalmic endoscope used to perform ECP

Efficacy and complications of phacoemulsification combined with ECP

Berke et al. Yap et al. Bolek et al.
Duration of follow-up (months) Postoperatively 12 24 36 12 24 36 48 60
Preop. IOP (mmHg) 19.1 18.4 22.6
Preop. N of IOP-lowering meds 1.5 2.7 -
Postop. IOP (mmHg) 15.7 14.3 14.1 13.6 15.9 15.9 15.6 15.5 15.2
Postop. N of IOP-lowering meds 0.7 1.3 1.7 1.8 - - - - -
IOP reduction (%) 17.8 22.3 23.4 26.1 29.6 29.6 31.0 31.4 32.7
N of IOP-lowering meds reduction (%) 53.3 51.9 37.0 33.3 - - - - -
Complications There were no severe complications, and the rates of cystoid macular edema did not exceed those expected for a standard phacoemulsification in any patient. Uveitis (6%), macular edema (2%), IOP spikes (1%), and corneal decompensation (1%). No episodes of hypotony or retinal detachment were reported. Corneal edema (25.6%), IOP spikes (20.5%), intraocular lens dislocation (2.6%), uveitis (12.8%). No episodes of hypotony were reported.

Efficacy and complications of ECP in patients undergoing PPV

Gorovoy et al. [26] Boyd et al. [27] He et al. [28]
Duration of follow-up (months) 1 3 12.2 15.2
Preop. IOP (mmHg) 26.3 20.3 46.3
Preop. N of IOP-lowering meds 2.7 2.3 4.0
Postop. IOP (mmHg) 17.9 16.9 14.6 18.5
Postop. N of IOP-lowering meds 1.3 1.3 2.0 1.0
IOP reduction (%) 31.9 35.7 28.1 60.0
N of IOP-lowering meds reduction (%) 51.9 51.9 13.0 75.0
Complications One patient developed hypotonia. Postoperative inflammation or discomfort did not exceed what was expected for a standard vitrectomy in any patient. There were no ocular and systemic complications. Postoperative inflammation or discomfort did not exceed what was expected for a standard vitrectomy in any patient.
Language:
English
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1 times per year
Journal Subjects:
Life Sciences, Molecular Biology, Microbiology and Virology, Medicine, Basic Medical Science, Immunology