Clinical Study Spotlight
Phacoemulsification Combined With Trabecular Microbypass Stent (iStent) and Endolaser Cyclophotocoagulation (ECP).
AGS 2017
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
Cataract + ECP Articles
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 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
Myths About Endoscopic Cyclophotocoagulation
Glaucoma Physician,
December 2018
A MIGS procedure with an excellent safety profile... ECP has been in existence for many years and really was the first MIGS procedure. Still, there are lingering myths about this procedure that must be addressed. Tens of thousands of people have benefited from this surgery and surgeons need to know the truth about how, when used correctly, ECP can be a valuable tool to lower IOP in our glaucoma patients.
Steven R. Sarkisian Jr, M.D.
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 endo-cyclophotocoagulation (ECP) was one of the first MIGS procedures...
SR Sarkisian, Jr., MD; M Welch, DO; E Murphy
The Significance of ECP in Today’s Glaucoma Management
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.
Erin Murphy
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.
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.
Glaucoma Update - MIGS
MIGS and combined procedures will continue to be hot in 2015.
CRST Europe, Nov/Dec 2014
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.