Glaucoma Associates of Texas

Glaucoma Eye Doctor, Specialty Ophthalmologists

Dallas214-360-0000 • Plano972-612-9522 • Fort Worth817-923-2000
Rockwall469-769-1606 • Sherman214-360-0000
Southlake 214-360-0000

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    • Michelle R. Butler, MD
    • Lauren S. Dhar, MD
    • Matthew E. Emanuel, MD
    • Ronald L. Fellman, MD
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    • Davinder S. Grover, MD MPH
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    • Oluwatosin U. Smith, MD
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Endocyclophotocoagulation (ECP)

combined with cataract surgery to help reduce intraocular pressure

What is Endocyclophotocoagulation (ECP)?

IODE CYCLOPHOTOCOAGULATION (CPC) recommended for patients with refractory glaucoma


ECP is often combined with cataract surgery to help reduce intraocular pressure. The procedure involves coagulation of the ciliary processes under direct visualization so as to cause inflammation and scarring with subsequent decrease in the amount of intraocular fluid produced within your eye. Since glaucoma usually involves a drainage problem, reducing the amount of fluid being made helps with the intraocular pressure.

After cataract surgery is completed a 20G special probe is introduced into the eye through the same cataract incision. This probe has both a special camera as well as fiberoptic cables that will help deliver the laser energy. Your surgeon will observe the internal structures of your eye on a TV monitor and will direct the laser energy to the ciliary processes under direct visualization. The amount of energy delivered is titrated to achieve a blanching of the processes. An attempt is made to treat about 270 to 360 degrees around the eye to achieve maximal effect.

After the procedure an eye patch will be placed over your eye for the first 24 hours. Your doctor will want to examine you in the office the following morning when the patch will be removed and your eye pressure checked. You will be prescribed a regimen of postoperative drops for the next four to six weeks.

If the procedure is successful you can expect a decrease in the intraocular pressure and you possibly may come off some of your glaucoma medications. It takes about 6 to 8 weeks before the outcome of the laser procedure is known.

The procedure takes about 15 minutes to perform. Prior to the procedure, a topical anesthetic drop is placed on the eye and a contact lens is placed on the eye. The laser applications are made through a microscope that looks similar to the one your doctor examines your eye with in the office. Once the laser is completed, you will have to wait for a period of time to have your eye pressure checked. Allow 2 hours for the entire procedure. You will need to use an anti-inflammatory drop in the eye for several days following the procedure.

Several postoperative visits will be scheduled to monitor your eye pressure. Expect several weeks before your doctor sees a lower pressure in the eye treated. Early results show that the laser may be repeated if necessary.

Benefits of the laser include no adverse events from added medications and the delay of a surgical procedure. Please feel free to discuss this laser or other procedures with your physician.

Please contact the Glaucoma Associates of Texas if you have questions about the treament for glaucoma.

Sherman Office Now Open

Glaucoma Associates of Texas (GAT) would like to welcome you to our new GAT Sherman Office located in Sherman, Texas. We are excited to announce that this is our fifth office in the Dallas-Fort Worth metropolitan area. Our goal is to bring glaucoma specialists closer to your area.

Our Mission

Glaucoma Associates of Texas, Dallas, Plano, Fort Worth and Rockwall

The doctors at Glaucoma Associates of Texas (GAT) are ophthalmologists specializing in the medical, laser, and surgical treatment of glaucoma and cataracts. Each of our physicians has completed a clinical glaucoma fellowship, gaining extensive … Glaucoma Specialists

Our Video Gallery

GATT (Gonioscopy Assisted Transluminal Trabeculectomy)

Welcome to the Glaucoma Photo Gallery and Video Gallery for Glaucoma Associates of Texas! Glaucoma Video Gallery In our first video, Dr. Davinder Grover is interviewed by Cheryl Guttman Krader of Ophthalmology Times. The article about GATT … Video Gallery

Our Charity – Cure Glaucoma

cure glaucoma fund

Glaucoma Associates of Texas   Cure Glaucoma, a charitable foundation, was established in 2014 by ophthalmologists at Glaucoma Associates of … Cure Glaucoma

Archives

Latest GAT News

What’s the Right Surgery for You?

December 10, 2017 By Matthew Emanuel, MD

Click Here to watch Dr. Davinder Grover discuss how glaucoma-trained … [Read More...]

Make the Most of Your Visit

December 2, 2017 By Matthew Emanuel, MD

Click Here to see Dr. Tosin Smith's recent interview on 7 Ways to Make the … [Read More...]

Living With Glaucoma

  • Living with and Managing Glaucoma
  • Low Vision Due to Glaucoma
  • Light Sensitivity and Glare with Glaucoma
  • Nutrition, Lifestyle, and Glaucoma
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  • Cure Glaucoma Charity

GAT Dallas Office

GAT Plano Office

GAT Fort Worth Office

GAT Rockwall Office

GAT Sherman Office

GAT Southlake Office

5 Office Locations

Dallas Office 214-360-0000
10740 N Central Expressway, Suite 300
Dallas, Texas 75231

Plano Office 972-612-9522
6000 W.Spring Creek Pkwy, Suite 110
Plano, TX 75024

Fort Worth Office 817-923-2000
417 W Magnolia Avenue
Fort Worth, Texas 76104

Rockwall Office 469-769-1606
810 Rockwall Pkwy, #1010
Rockwall, Texas 75032

Sherman Office 214-360-0000
715 E. Taylor Street
Taylor Plaza, Suite 100
Sherman, TX 75090

Southlake Office 214-360-0000
305 Morrison Park Drive
Southlake, Texas 76092

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