Endoscopic surgery in glaucoma management

Endoscopically-controlled intraocular surgery has been evolving rapidly since the introduction of thinner endoprobes with increasing resolving power and higher image quality. Currently, anti-glaucomatous surgery is also beginning to take advantage of this exciting new technology. This article discusses the two main approaches to glaucoma management using microendoscopic techniques-decreasing aqueous humor production by means of laser endoscopic cyclophotocoagulation and increasing outflow facility through endoscopically-controlled selective trabecular surgery. Besides presenting clinical results, emphasis is placed on different surgeons' accounts of intraoperative endoscopic maneuverability and the spectrum of complications that may be attributed to the endoscopic nature of the surgical intervention.