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Updated: Mar 26, 2026

Ultrasound Cyclo Plasty in Eyes with Glaucoma
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[Diaphanoscopy in cyclophotocoagulation].

T Wecker1, J F Jordan2, C van Oterendorp3

  • 1Klinik für Augenheilkunde, Universitätsklinikum Freiburg, Killianstr. 5, 79106, Freiburg, Deutschland. thomas.wecker@uniklinik-freiburg.de.

Der Ophthalmologe : Zeitschrift Der Deutschen Ophthalmologischen Gesellschaft
|January 21, 2016
PubMed
Summary
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Transscleral cyclophotocoagulation (TSCPC) is a valuable glaucoma treatment. Diaphanoscopy enhances TSCPC by visualizing the ciliary body, improving laser precision and reducing side effects.

Area of Science:

  • Ophthalmology
  • Surgical Innovation

Background:

  • Transscleral cyclophotocoagulation (TSCPC) is an established glaucoma treatment for lowering intraocular pressure.
  • TSCPC is not a first-line therapy but offers an alternative physiological approach to filtration surgery.
  • Accurate ciliary body targeting is crucial for TSCPC efficacy and safety, yet anatomical variability poses challenges.

Purpose of the Study:

  • To introduce and explain the concept of diaphanoscopy for enhancing transscleral cyclophotocoagulation.
  • To highlight how diaphanoscopy aids in precise ciliary body visualization during TSCPC.
  • To emphasize the role of diaphanoscopy in preventing anterior misplacement of laser energy and associated risks.

Main Methods:

  • Diaphanoscopy is presented as a simple and effective technique for visualizing the ciliary body.
Keywords:
Ciliary bodyCyclodestructionGlaucomaIntraocular pressureLaser

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  • The method involves visualizing the ciliary body before or concurrently with cyclophotocoagulation.
  • This visualization guides precise placement of the laser probe.

    • Main Results:

    • Diaphanoscopy allows direct visualization of the ciliary body, overcoming empirical placement limitations.
    • It enables more accurate targeting of the ciliary body for laser application.
    • The technique helps mitigate the risk of side effects from incorrect laser beam placement.

    Conclusions:

    • Diaphanoscopy is a valuable adjunct to transscleral cyclophotocoagulation.
    • It improves the precision and safety of TSCPC by enabling direct visualization of the ciliary body.
    • This technique can lead to better outcomes in glaucoma management using TSCPC.