Endolaser Cyclophotocoagulation in Glaucoma Management

摘要

Endolaser cyclophotocoagulation is a safe and effective method to lower intraocular pressure. This is confirmed by several new, large, long-term studies summarized by the author Because the ciliary processes are visualized directly and treated precisely with diode laser energy, the problems of pain, inflammation, hypotony, and visual loss associated with transscleral forms of cycloablation do not occur. The endolaser probe has an 18-gauge diameter and can be used through the limbus or pars plana to treat virtually any type of glaucoma, regardless of etiology. Endolaser cyclophotocoagulation is particularly easy and well suited to lower intraocular pressure and reduce the need for glaucoma medications by combining it with phacoemulsification in cases of cataract and medically controlled glaucoma. Surgical techniques and clinical "pearls" are provided by the author.