Physicians and Patients
Download our full bibliography of Clinical Studies
Download the ECP Study Summary
Pre‐Surgical Review for New ECP Surgeons
ECP Clinical Study Spotlight
Successful treatment of epithelial downgrowth with endoscopic photocoagulation and intracameral 5-fluorouracil after prolonged limbal wound leak
Int. J. Ophthalmol. Vol.11, No.4, 703-704. April 2018.
Epithelial downgrowth (EDG) is an uncommon and serious complication of intraocular surgery and trauma. It is recognized clinically by a translucent membrane on the corneal endothelium or iris. Treatment of EDG is controversial and generally has a low success rate.
Abdollah, Mohd Zahidin, Amem, et. al.
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
Endoscopic Ophthalmic Surgery of the Anterior Segment.
Survey of Ophthalmology. Vol 59, No.2 March 2014. 217-231
We summarize the uses of anterior segment endoscopic techniques and the basic science and technology of endoscopic cyclophotocoagulation (ECP) as compared with transscleral cyclophotocoagulation.
Francis, B. A., Kwon, J., Fellman, R., et. al
Cataract + ECP Articles
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, Read more...
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. ECP is an easy-to-learn, (Read more...)
Steve Silverstein, M.D., FACS, Kansas City, MO
ECP & Other MIGS Articles
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.
SR Sarkisian, Jr., MD; M Welch, DO; E 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.
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.
Mark Welch, DO
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.
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.
Retinal Endoscopy Articles
Endoscope offers versatility over microscope for retinal surgeries.
Martin Uram, MD, MPH
Modern Retina; Dec 08, 2017
While use of the endoscope is widespread, there are still surgeons who feel the microscope is sufficient. However, the increased visualization that the endoscope provides is an invaluable tool that can significantly improve outcomes in a variety of cases, particularly retinal surgeries. Read more...
Practical Applications of Endoscopic Vitrectomy for the Vitreoretinal Surgeon
S. Dang, M.D., J.S. Heier, M.D., R.A. Goldberg, M.D.
Retinal Physician; June 2017
Endoscopic vitrectomy provides direct visualization of the posterior segment with a directional camera, allowing surgeons to bypass compromised anterior segments, opacified corneas, and media opacities. Additionally, the ability to direct the visualization from the pars plana allows surgeons a...
Endoscopy: An overlooked tool in the management of Ocular trauma
Marcus Colyer, M.D.
Retina Today; Nov/Dec 2016
Despite a steep learning curve, this instrument can make a big difference. Intraocular foreign bodies (IOFBs) can be found in as many as 40% of penetrating or open globe injuries.1 Penetrating eye injuries can cause permanent loss of vision, corneal ulcers, infection, and sympathetic...
Endoscope an essential instrument for every retina surgeon
Rupan Trikha, M.D.
Ocular Surgery News; June 2016
Cases can benefit from improved visibility with the use of the endoscope.
Optimal visualization of the posterior segment is essential in all forms of retinal and vitreous surgical procedures. It becomes even more important when media opacities degrade the view of the retina and...
Endoscopy and its potential for visualization
Jeffrey Heier, M.D.
Retina Today; Sept 2015
• The endoscope is helpful for examining areas or anatomy of the eye that would otherwise be difficult to view.
• Compared with traditional surgical views, endoscopy allows surgeons to visualize tissues, anatomy, and pathology that might be indiscernible with traditional surgical views.
• Endoscopy-enabled reflected light aids in the visualization of vitreous by causing it to appear more opaque.
Retinal Endoscopy Clinical Study Spotlight
Current Opinion in Ophthalmology 2014, 25:195-206
Purpose: To update on the recent developments and surgical applications of intraocular endoscopy, and highlight its role in the modern era of microincision vitreoretinal surgery. Recent progress in our understanding of the unique intraocular illumination properties of endoscopy, specifically the use of reflected (coaxial) versus conventional transmitted (dissociated) light, is redefining its role in vitreoretinal surgery.
Wong, S.C., Lee, T.C., Heier, J.S., Ho, A.C.