Endocyclophotocoagulation (ECP) is a laser treatment used to treat glaucoma. ECP delivers a gentle type of laser light energy through a fine fiber optic probe. During the cataract operation the cataract surgeon is able to use the same tiny incisions to remove the cataract, implant an IOL and perform the ECP procedure.
During the ECP procedure, the surgeon will gently insert a tiny fiber optic probe into the eye. This probe is about the same thickness as an ordinary paper clip–but it is actually a specialized video camera that allows the surgeon to directly see the microscopic structures inside the eye under high magnification. The camera allows the surgeon to directly see the specific structures that produce the aqueous humor, the eye’s internal fluid. By applying the laser to these structures, called ciliary processes, it is possible to cause them to decrease the amount of fluid they produce and thus lower the intraocular pressure (IOP). The ECP procedure is painless and typically takes just a few minutes to perform. Since both procedures are performed through a very tiny incision, there is usually no need for stitches or sutures, as the incision will quickly seal itself.
It is estimated that some 80% of patients having the ECP Glaucoma Laser procedure experience a significant decrease in their intraocular pressure (IOP) and thus gain better control of their glaucoma.