Cataract & ECP
ECP & MIGS
Clinical Study Spotlight
Combined endocyclophotocoagulation and phacoemulsification in the management of moderate glaucoma
Cataract and glaucoma are the leading causes of blindness worldwide and commonly coexist in elderly patients. Endocyclophotocoagulation is a minimally invasive approach for glaucoma management that is amenable to combination with cataract surgery.
Siddarth Rathi, MD, MBA; Nathan M. Radcliffe, MD
Long-term Follow-up of Combined Phacoemulsification and Endoscopic Cyclophotocoagulation in the Treatment of Mild to Moderate Glaucoma
Summary: To evaluate long-term effects of combined phaco-ECP. 261 eyes in a non-comparitive study of the effects of phaco-ECP on IOP and medication reliance over 72 months.
Khandan S, Siegel L, Siegel M, Citron M, Siegel M
Microbypass stent implantation with cataract extraction and endocyclophotocoagulation versus microbypass stent with cataract extraction for glaucoma
JCRS, Volume 43 Issue 3 March 2017
Adding ECP to the trabecular microbypass stent concomitant cataract surgery provided further reduction in IOP than the use of the stent and cataract surgery alone.
Tanner J. Ferguson, BS, Russell Swan, MD, Ramu Sudhagoni, PhD, John P. Berdahl, MD
Phacoemulsification Combined With Trabecular Microbypass Stent (iStent) and Endolaser Cyclophotocoagulation (ECP).
Purpose/Relevance: To evaluate the safety and efficacy of the iStent, cataract surgery, ECP procedure (ICE) in patients with glaucoma. Minimally invasive glaucoma surgery (MIDS) is not as effective at controlling intraocular pressure (IOP) as more invasive procedures. I evaluated ICE to see if further IOP control can be obtained.
Coronia, Ronald; Ophthalmic Consultants of Long Island
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Cataract + ECP Articles
The Significance of ECP in Today’s Glaucoma Management
Ophthalmolog Management, Volume: 21, Issue: Dec 2017
A pressure-lowering workhorse emerges as potent pairing with MIGS - In the era of minimally invasive glaucoma surgeries (MIGS), it is important to remember that some would say endocyclophotocoagulation (ECP) was one of the first MIGS procedures...
SR Sarkisian, Jr., MD; M Welch, DO; E Murphy
ECP Provides Primary Secondary Therapy Option for Glaucoma
OT Europe; May 2017
Surgeon uses minimally invasive “non-trabitional” method to reduce IOP in patients facing high-risk procedures.
Philip Bloom, M.D.
Endoscopic Procedures: A Double Win
CRST (Cataract and Refractive Surgery Today); Sept 2016
A randomized study compared 626 patients who received ECP at the time of phacoemulsification with 81 patients who underwent phacoemulsification alone.1 Three years postoperatively, the combined group demonstrated an 18% reduction in IOP in addition to a 58% reduction in the number of medications used.
David Goldman, M.D., Palm Beach Gardens, FL
ECP and Its Indications in Glaucoma Therapy
CRST (Cataract and Refractive Surgery Today); Sept 2010
A versatile treatment option - Endoscopic CycloPhotocoagulation (ECP)-the controlled ablation of ciliary processes under direct endoscopic visualization-is unique in the paradigm of glaucoma treatments, because it is the only treatment that suppresses aqueous production. Read more...
Brian A. Francis, MD, MS
ECP & Cataract Surgery: Perfect Together?
Review of Ophthalmology; Sept 2016
Evidence suggests that endoscopic cyclophotocoagulation can be a safe and effective adjunct to cataract surgery.
Carla J. Siegfried, M.D., St. Louis, MO, USA
ECP Offers Multiple Benefits for Glaucoma Management
Advanced Ocular Care; Sept 2016
The endoscope provides views not available through the microscope.
With an estimated 79.6 million people expected to be affected by glaucoma by 2020,1 responsibility for the treatment of glaucoma is expanding from specialists to comprehensive and anterior segment ophthal-mologists as well.
Steve Silverstein, M.D., FACS, Kansas City, MO
ECP & Other MIGS Articles
Glaucoma Physician, Dec 2017
In the era of minimally invasive glaucoma surgeries (MIGS), it is important to remember that some would say endocyclophotocoagulation
(ECP) was one of the first MIGS procedures. Predating the implants and other approaches used today, it has long been a powerful workhorse for patients with early mild to moderate glaucoma and concomitant cataracts.
ECP: Still Relevant in the Era of MIGS.
CRST Europe, Sept 2017
•ECP can precisely treat the ciliary processes to shrink and efface them without gross architectural destruction or collateral damage.
•When ECP is combined with phacoemulsification, it is usually possible for the patient to discontinue one or two glaucoma medications.
•The procedure can also be combined with other MIGS outflow procedures to increase IOP-lowering, or it can be performed after glaucoma drainage procedures in patients with refractory glaucoma.
Philip Bloom, MB ChB, FRCS(Ed), FRCOphth
It Takes Two.
Mark Welch, DO
CRST Europe, Nov/Dec 2014
Until the advent of microinvasive glaucoma surgery (MIGS), the options for treating patients with mild to moderate glaucoma were limited to medication and laser therapy. Traditionally, ophthalmologists reserve trabeculectomy and tube shunt surgery for patients with advanced disease because of the rate of complications with these procedures. Surgeons have generally limited TSCPC and ECP to patients with intractable glaucoma and poor visual potential.
ICE combination procedure has potential to better treat glaucoma patients
Ocular Surgery News U.S. Edition, August 25, 2015
Combining cataract surgery with endoscopic cyclophotocoagulation has been a practice of mine for many years in patients with early glaucoma who want to discontinue the use of medications.
Steven R. Sarkisian Jr, M.D.
Glaucoma Update - MIGS
MIGS and combined procedures will continue to be hot in 2015.
In 2014, ophthalmologists championed further refinements in minimally invasive glaucoma surgery (MIGS) and learned how these procedures can best be applied. Learning where iStent (Glaukos) fits into the surgical management of mild to moderate glaucoma has been a continual process. Read more...
Malik Kahook, M.D.
Cataract in Combination with Kahook Blade and ECP
This video shows the technique that Dr. Patterson uses to perform the Kahook Dual Blade (New World Medical) alongside ECP. This allows for IOP reduction after cataract surgery. The video shows a side-by-side viewing to help aide in the way ECP is performed.
Michael Patterson, DO
ICE Combination Therapy
Glaucoma Today, May/June 2014
This procedure allows my patients with early glaucoma to benefit from refractive cataract surgery and a reduction of the burden of medication.