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Review
. 2002 Dec;86(12):1434-8.
doi: 10.1136/bjo.86.12.1434.

Endoscopic cyclophotocoagulation

Review

Endoscopic cyclophotocoagulation

S Lin. Br J Ophthalmol. 2002 Dec.

Abstract

Glaucoma surgery can be classified as either cyclodestructive (reducing inflow) or filtering (increasing outflow). Filtration has traditionally been the procedure of first resort because of its efficacy and relative predictability, whereas ciliary destruction has been reserved for more refractory cases of glaucoma and in eyes which have little or no visual potential. Refractory glaucomas include neovascular glaucoma, post-traumatic glaucoma, glaucoma associated with aphakia, severe congenital/developmental glaucoma, post-retinal surgery glaucoma, glaucoma associated with penetrating keratoplasties, and glaucoma in eyes with scarred conjunctiva from surgery or disease processes.

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Figures

Figure 1
Figure 1
Endoscopic cyclophotocoagulation laser unit. The laser console is compact and the high resolution monitor is used to guide the laser probe for direct, selective treatment of ciliary processes.
Figure 2
Figure 2
Endoscopic view of ciliary processes in a patient with refractory glaucoma. The white ciliary process has been treated and shows evidence of shrinkage.

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