Ophthalmologists have visible advances in cyclophotocoagulation (CPC), with each generation of the technology turning into more physician and patient-friendly. Shan Lin, MD, a glaucoma expert on the Glaucoma Center of San Francisco, in California defined a number of the latest advances in the technology cyclophotocoagulation. Transscleral cyclophotocoagulation (TCPC) became the primary strive at this technology, which has its limitations. In a few cases, the remedy did not reach the targeted tissue due to the fact the tissue was not visualized, and the pars plana frequently became treated instead. In addition, there was the ability for the surrounding structures to be damaged.

The introduction of the G-Probe Illuminate Delivery Device (Iridex) helps to deal with these problems. This technology makes use of a diode laser to deal with the ciliary processes via the sclera and decreases the intraocular pressure (IOP) by decreasing aqueous production. This is a newer technology that enables direct visualization of the ciliary methods as they’re being treated. Probes with exclusive gauge sizes (18, 19, 20, and 23 gauge) are available for this intraoperative process. In addition, the provision of curved probes permits the treatment of more areas within the identical incision, Lin. stated. This is the newest of the technologies. The Cyclo G6 Glaucoma Laser with the MicroPulse P3 probe (Iridex) is a transscleral procedure designed to supply laser electricity in a pulse pattern to avoid excessive harm to the tissues. A benefit of this new technology is that it could be finished each in an office or the operating room, however, Lin stated he prefers performing the process in the operating room for increased control and patient comfort. There are no pops involved with the treatment, and Lin stated that the sweeping movement should keep away from the three and nine o’clock positions.

The potential complications of the technology consist of rare, unexplained visible loss; hypotony; ocular inflammation; and CME. In anatomic tests the use of ultrasound biomicroscopy, there have been no observable modifications evaluating before and after treatment. MicroPulse works with the aid of using controlling the thermal impact by “chopping” a non-stop wave of the electricity beam into repetitive quick pulses interrupted by relaxation times, which makes for much less thermal damage to the targeted area. The era is also notion to stimulate biological factors, which includes cytokines and growth factors, in the treatment area, Lin explained.

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