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Laser Therapies: Cyclodestructive Procedures

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Abstract

Early attempts to reduce intraocular pressure (IOP) through treating the ciliary body utilized the process of diathermy to destroy aqueous-producing cells. This method quickly fell out of favor due to a high rate of hypotony as well as lack of efficacy. Cryotherapy was another early method of ciliary body ablation, and, while the results were more successful and repeatable than diathermy, freezing of the ciliary body never achieved widespread acceptance. The use of cyclophotocoagulation (CPC) was first reported in the early 1960s using a xenon arc photocoagulator for ciliary body destruction. A decade later, the arc photocoagulator was replaced by a laser and development of the present form of cycloablation began its evolution.

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References

  1. Weve H. Die Zyklodiatermie das Corpus ciliare bei Glaukorm. Zentralbl Ophthalmol. 1933;29:562–569.

    Google Scholar 

  2. deRoetth A. Cryosurgery for the treatment of glaucoma. Trans Am Ophthalmol Soc. 1964;63:189–204.

    Google Scholar 

  3. deRoetth A. Cryosurgery for the treatment of advanced simple glaucoma. Am J Ophthalmol. 1968;66:1034–1041.

    Google Scholar 

  4. Bellows AR, Grant WM. Cyclocryotherapy in advanced inadequately controlled glaucoma. Am J Ophthalmol. 1973;75:679–684.

    CAS  PubMed  Google Scholar 

  5. Weekers R, Lavergne G, Watillion M, et al. Effects of photocoagulation of ciliary body upon ocular tension. Am J Ophthalmol. 1961;52:156–163.

    CAS  PubMed  Google Scholar 

  6. Lee P-F, Pomerantzeff O. Transpupillary cyclophotocoagulation of rabbit eyes; an experimental approach to glaucoma surgery. Am J Ophthalmol. 1971;71:911–920.

    CAS  PubMed  Google Scholar 

  7. Beckman H, Kinoshita A, Rona AN, et al. Transscleral ruby laser irradiation of the ciliary body in the treatment of intactable glaucoma. Trans Am Acad Ophthalmol Otolatnygol. 1972;76:423–436.

    CAS  Google Scholar 

  8. Schuman JS. Nd:YAG laser transscleral cyclophotocaogulation. In: Thomas JV, Belcher CD, Simmons RJ, eds. Glaucoma Surgery. St Louis: Mosby-Yearbook; 1992.

    Google Scholar 

  9. Hampton C, Shields MB, Miller KN, Blasin M. Evaluation of a protocol fro transscleral neodymium: YAG cyclophotocoagulation in one hundered consecutive patients. Ophthalmology. 1990;97:910–917.

    CAS  PubMed  Google Scholar 

  10. Devenyi RG, Trope GE, Hunter WH, et al. Neodymium-YAG transscleral cyclophotocaulation in human eyes. Ophthalmology. 1987;94:1519–1522.

    CAS  PubMed  Google Scholar 

  11. Trope GE, Ma S. Mid term effects of neodymium:YAG thermal cyclophotocoagulation in glaucoma. Ophthalmology. 1990;97:73–75.

    CAS  PubMed  Google Scholar 

  12. Klapper RM, Wandel T, Donnenfeld E, et al. Transscleral neodymium:YAG thermal cyclophotocoagulation in refractory glaucoma, a preliminary report. Ophthalmology. 1988;95:719–722.

    CAS  PubMed  Google Scholar 

  13. Schuman JS, Belows AR, Shingleton BJ, et al. Contact transscleral Nd:YAG laser cyclophotocaogulation: midterm results. Ophthalmology. 1992;99;1089-1094, discussion 1095.

    CAS  PubMed  Google Scholar 

  14. Gaasterland D, Abrams D, Belcher C, et al. A multicenter study of contact diode laser transscleral cyclophotocoagulation in glaucoma patients. Invest Ophthalmol Vis Sci. 1992;33(Suppl):1019

    Google Scholar 

  15. Kosoko O, Gaasterland DE, Pollack IP, et al. Long term outcome of initial ciliary ablation with contact diode laser transscleral cyclophotocoagulation for severe glaucoma. Ophthalmology. 1996;103: 1924–1302.

    Google Scholar 

  16. Carassa RG Trabucchi G, Bettin P, et al. Contact transscleral cyclophotocagulation (CTCP) with diode laser: a pilot clinical study. Invest Ophthalmol Vis Sci. 1992;33(Suppl):1019.

    Google Scholar 

  17. Pantcheva MB, Kahook MY, Schuman JS, et al. Comparison of acute structural and histopathological changes in human autopsy eyes after endoscopic cyclophotocoagulation and trans-scleral cyclophotocoagulation. Br J Ophthalmol. 2007;91:248–252.

    Article  PubMed  Google Scholar 

  18. Kahook MY, Lathrop KL, Noecker RJ. One-site versus two-site endoscopic cyclophotocoagulation. J Glaucoma. 2007;16:527–530.

    Article  PubMed  Google Scholar 

  19. Yu JY, Kahook MY, Lathrop KL Noecker RJ. The effect of probe placement and type of viscoelastic material on endoscopic cyclophotocoagulation laser energy transmission. Ophthalmic Surg Lasers Imaging. 2008;39:133–136.

    Article  PubMed  Google Scholar 

  20. Kahook MY, Schuman JS, Noecker RJ. Endoscopic cyclophotocaogulation using iris hooks versus viscoelastic devices. Ophthalmic Surg Lasers Imaging. 2007;38:170–172.

    PubMed  Google Scholar 

  21. Berke SJ, Sturm RT, Caronia RM, et al. Phacoemulsification combined with endoscopic cyclophotocoagulation (ECP) in the management of cataract and medically controlled glaucoma: a large, long term study. Presented at the AGS Annual Meeting; March 2006; Charleston, SC.

    Google Scholar 

  22. Lima FE, Magacho L, Carvalho DM, et al. A prospective, comparative study between endoscopic cyclophotocoagulation and the Ahmed drainage implant in refractory glaucoma. J Glaucoma. 2004;13:233–237.

    Article  PubMed  Google Scholar 

  23. Chen J, Cohn RA, Lin SC, et al. Endoscopic photocoagulation of the ciliary body for treatment of refractory glaucoma. Am J Ophthalmol. 1997;124:787–796.

    CAS  PubMed  Google Scholar 

  24. Carter BC, Plager DA, Neely DE, et al. Endoscopic diode laser cyclophotocoagulation in the management of aphakic and pseudophakic glaucoma in children. J AAPOS. 2007;11:34–40.

    Article  PubMed  Google Scholar 

  25. Neely DE, Plager DA. Endocyclophotocoagulation for management of difficult pediatric glaucomas. J AAPOS. 2001;5:221–229.

    Article  CAS  PubMed  Google Scholar 

  26. Gayton JL, Van Der Karr M, Sanders V. Combined cataract and glaucoma surgery; trabeculectomy versus endoscopic laser cycloablation. J Cataract Refract Surg. 1999;25:1214–1219.

    Article  CAS  PubMed  Google Scholar 

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Russo, C.J., Kahook, M.Y. (2010). Laser Therapies: Cyclodestructive Procedures. In: Schacknow, P., Samples, J. (eds) The Glaucoma Book. Springer, New York, NY. https://doi.org/10.1007/978-0-387-76700-0_63

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  • DOI: https://doi.org/10.1007/978-0-387-76700-0_63

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  • Publisher Name: Springer, New York, NY

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