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The Latest...

ECP provides primary secondary therapy option for glaucoma

Surgeon uses minimally invasive “non-trabitional” method to reduce IOP in patients facing high-risk procedures.

by Philip Bloom, MD

Ophthalmology Times Europe, May 10 2017.

For 20 years I have effectively employed endoscopic cyclophotocoagulation (ECP) as a primary or secondary line of glaucoma treatment. ECP is a minimally invasive glaucoma surgical (MIGS) option capable of reducing IOP in the majority of patients and can potentially eliminate the need for drainage surgery, including trabeculectomy (trab) and glaucoma drainage devices (GDDs).

A Comparison...

Anterior Segment Imaging

ASOCT vs. UBM vs. endoscope; casebased approaches.

by Benjamin Bert, MD, FACS & Brian Francis, MD, MS

Ophthalmology Management, Vol: 20; Issue: November 2016, 31-34.

Currently, numerous imaging modalities are available to the anterior segment specialist to assist in the accurate diagnosis and management of patients, both medically and surgically. Progressing from slit lamp photography, we now have ultrasound biomicroscopy (UBM), anterior segment ocular coherence tomography (ASOCT) and the ability to obtain intraoperative endoscopic images and video. Here, we will take a casebased approach to demonstrate the advantages of each modality and how to utilize their strengths.

Posterior Segment Magic

Endoscope an essential instrument for every retina surgeon

Cases can benefit from improved visibility with the use of the endoscope.

by Rupan Trikha, MD

Ocular Surgery News U.S. Edition, June 10, 2016.

New Study ECP Plus Procedure

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Endoscopic Cyclophotocoagulation and Pars Plana Ablation (ECP-Plus) to Treat Refractory Glaucoma

Brian A. Francis,MD,MS, Stanley J. Berke, MD,
Laurie Dustin, MS, Robert Noecker, MD

J Cataract Refract Surg 2014; 40:1313–1321
© 2014 ASCRS and ESCRS

Abstract

PURPOSE: To compare the outcomes of combined endoscopic cyclophotocoag- ulation (ECP) and phaco- emulsification cataract extraction versus cataract extraction alone in eyes with medically controlled open-angle glaucoma (OAG) and visually significant cataract.
CONCLUSION: Combined ECP and cataract extraction resulted in lower IOP and a greater reduction in glaucoma medications than cataract extraction alone in medically controlled OAG patients with visually significant cataract.

Highlight Study on Phaco+ECP

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Endoscopic cyclophotocoagulation combined with phaco- emulsification versus phacoemulsification alone in medically controlled glaucoma

Brian A. Francis,MD,MS;, Stanley J. Berke, MD;
Laurie Dustin, MS; Robert Noecker, MD

Ophthalmology Times; Jan 1, 2014.

Abstract

PURPOSE: To compare the outcomes of combined endoscopic cyclophotocoag- ulation (ECP) and phaco- emulsification cataract extraction versus cataract extraction alone in eyes with medically controlled open-angle glaucoma (OAG) and visually significant cataract.
CONCLUSION: Combined ECP and cataract extraction resulted in lower IOP and a greater reduction in glaucoma medications than cataract extraction alone in medically controlled OAG patients with visually significant cataract.