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Endoscopic Cyclophotocoagulation (ECP)

Endoscopic CycloPhotocoagulation is an outpatient surgical procedure for glaucoma patients that decreases the production of aqueous fluid in the eye. Using a microendoscope, one of the world’s smallest surgical endoscopes, our surgeons view the interior of the eye on a monitor and apply infrared laser treatment precisely on the surface of the ciliary processes located behind the iris. The ciliary tissue shrinks and whitens as it is treated, therefore inhibiting the creation of aqueous fluid by these cells. ECP is frequently performed in connection with cataract surgery because the same tiny incision that is used for replacing a patient’s lens provides perfect access to the ciliary processes.

Follow up appointments for ECP involve the same post-operative appointments as cataract surgery. ECP has proven to be safe and effective. Studies show that between fifty to fifty-five percent of patients are able to discontinue their glaucoma medications after cataract/ECP surgery. Almost seventy percent reduce their glaucoma medication and/or the frequency of using medication. ECP done together with cataract surgery is more effective in reducing ocular pressure than having cataract surgery alone.