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Updated: Jul 16, 2026
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Ultrasound Cyclo Plasty in Eyes with Glaucoma
Published on: January 26, 2018
Endoscopic laser cyclophotocoagulation in pediatric glaucoma with corneal opacities
Christiane E Al-Haddad1, Sharon F Freedman
1Duke University Eye Center, Durham, NC 27710, USA.
Summary
Endoscopic diode cycloablation showed limited success for pediatric glaucoma with corneal opacities. However, endoscopy aided successful tube shunt surgery in these challenging cases.
Area of Science:
- Ophthalmology
- Pediatric Glaucoma Management
- Surgical Innovation
Background:
- Pediatric glaucoma management often involves challenges, particularly in eyes with corneal opacities.
- Endoscopic diode cycloablation (ECP) has demonstrated modest efficacy for pediatric glaucomas.
- Corneal opacities present significant obstacles for traditional intraocular surgical procedures.
Purpose of the Study:
- To evaluate the efficacy of ECP in reducing intraocular pressure (IOP) in pediatric glaucoma patients with corneal opacities.
- To assess the utility of endoscopy in facilitating tube shunt placement in eyes with anatomical limitations due to corneal opacity.
Main Methods:
- Retrospective chart review of 12 eyes (11 patients) diagnosed with glaucoma and corneal opacities.
- ECP was performed for IOP control; success was defined as IOP ≤ 21 mm Hg postoperatively without complications.
- The study analyzed the success rates of initial ECP, repeat ECP, and endoscopically guided tube shunt placement.
Main Results:
- The cohort included 9 eyes with Peters/anterior segment dysgenesis and 3 with corneal scars/failed grafts; median age was 3 years.
- Initial ECP success rate was 17% (2/12 eyes), with a median survival of 12 months.
- Four eyes with failed ECP underwent successful tube shunt surgery, three with endoscopic assistance, achieving success at a median follow-up of 33 months.
Conclusions:
- ECP demonstrated limited success in managing refractory pediatric glaucoma complicated by corneal opacities.
- Endoscopy proved valuable in overcoming anatomical challenges, facilitating successful secondary tube shunt surgery in this patient group.
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