Endoscopic Cyclophotocoagulation (ECP)
The Endoscopic Cyclophotocoagulation (ECP) allows patients with cataracts and glaucoma to have treatment for their glaucoma at the same time as their cataract surgery. It works by using laser to prevent the production of aqueous humor (fluid) in the eye. The laser is applied directly to the eye structures that make the fluid. A small camera is used to guide the surgeon to the eye structures where the laser is applied which lowers the eye pressure. This offers the advantage of reducing or eliminating the need for eye drops soon after cataract surgery.
Some indications for ECP include:
- Treatment of plateau iris syndrome
- Management of patients with refractory glaucoma
- Augmentation of the effects of a glaucoma drainage implant
- Treatment of patients who are not good candidates for filtration surgery
The surgery is usually done on an outpatient basis and patients are able to go home directly following their procedure.