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Surgical Management of Childhood Glaucoma pp 129–135Cite as

Cyclodestruction

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Abstract

Over the past six decades, cyclodestructive techniques have been used in glaucomatous eyes with intraocular pressure (IOP) uncontrolled by medication and/or incisional surgery. With the advances of endoscopic imaging and laser technology, greater tissue specificity can be achieved with the modern diode laser, resulting in IOP-lowering effect with less tissue damage. The indications, techniques, outcomes, and potential complications for both transscleral and endoscopic cyclophotocoagulation are described in this chapter.

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Acknowledgment

The authors thank Dr. Anna Junk (Bascom Palmer Eye Institute, Miami Veterans Affairs Healthcare System, Miami FL, USA) for sharing her intraoperative video of endocyclophotocogulation.

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Authors and Affiliations

  1. Bascom Palemr Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA

    Ta Chen Peter Chang

  2. Vanderbilt Eye Institute, Vanderbilt Univeristy Medical Center, Nashville, TN, USA

    Karen M. Joos

Authors
  1. Ta Chen Peter Chang
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  2. Karen M. Joos
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Corresponding author

Correspondence to Ta Chen Peter Chang .

Editor information

Editors and Affiliations

  1. Samuel & Ethel Balkan International Pediatric Glaucoma Center, Bascom Palmer Eye Institute University of Miami Miller School of Medicine, Miami, FL, USA

    Alana L. Grajewski

  2. Department of Ophthalmology, Mayo Clinic, Rochester, MN, USA

    Elena Bitrian

  3. Glaucoma Service Moorfields Eye Hospital, London, UK

    Maria Papadopoulos

  4. Department of Ophthalmology, Duke University Medical Center, Durham, NC, USA

    Sharon F. Freedman

Electronic Supplementary Material

Transscleral cyclophotocoagulation . The footplate of the laser probe is placed at the limbus, while laser is activated by a foot pedal and applied to the ciliary body. A pair of fine-toothed forceps helps to rotate the eye during the procedure (MP4 13975 kb)

Endoscopic cyclophotocoagulation . The tip of the endoprobe is positioned from the ciliary body such that about four to five ciliary processes are visible on the screen at any given time. Laser is applied to the ciliary processes until shrinkage and whitening occur without rupture of ciliary processes or bubble formation. (Courtesy of Anna K. Junk, MD, Bascom Palmer Eye Institute, University of Miami, Miami FL, USA) (© Anna K. Junk) (MOV 4978 kb)

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Chang, T.C.P., Joos, K.M. (2018). Cyclodestruction. In: Grajewski, A., Bitrian, E., Papadopoulos, M., Freedman, S. (eds) Surgical Management of Childhood Glaucoma. Springer, Cham. https://doi.org/10.1007/978-3-319-54003-0_8

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  • DOI: https://doi.org/10.1007/978-3-319-54003-0_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-54002-3

  • Online ISBN: 978-3-319-54003-0

  • eBook Packages: MedicineMedicine (R0)

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