Transcript 55% of ECP patients are able to discontinue

Simultaneous Cataract and
ECP Glaucoma Surgery
An opportunity to improve your vision
while reducing or completely
eliminating your dependence on
Glaucoma medications.
ECP
Endoscopic Cyclophotocoagulation
A surgical procedure that effectively
inhibits the production of aqueous fluid
in the eye, typically resulting in a
decrease in intraocular pressure, and a
reduction or elimination of a patient’s
dependence on glaucoma medications.
ECP
Endoscopic Cyclophotocoagulation
While there are other simultaneous
surgical options to treat cataract patients
with elevated intraocular pressure, ECP
offers the best safety record, most
predictably improved outcomes, least
complicated follow up, and quickest
recovery of any.
ECP
The ECP procedure
is performed
using a
state-of-the-art Laser
MicroEndoscope. About
the diameter of a paper clip,
it is one of the smallest medical
endoscopes developed to date.
Endoscopes Have Revolutionized
Minimally Invasive Surgery
Endoscopes are used in many applications:
Arthoscopy: The examination of joints, (i.e. knee, shoulder), for
diagnosis and treatment (arthroscopic surgery).
Bronchoscopy: examination of the trachea and lung's
bronchial trees to reveal abscesses, bronchitis, carcinoma,
tumors, tuberculosis, alveolitis, infection, inflammation.
Laparoscopy: visualization of the stomach, liver and other
abdominal organs including the female reproductive organs, for
example, the fallopian tubes.
A Laser MicroEndoscope
utilizes an integrated
imaging and laser
fiberoptic bundle
to provide
simultaneous viewing,
and highly targeted treatment,
of intraocular structures that
generally could not otherwise be
seen or treated.
Laser MicroEndoscope Tip
Video Imaging Fiber
Coaxial Lighting
Laser Fiber
The Laser MicroEndoscope affords
surgeons unprecedented views of
intraocular structures
During Simultaneous Cataract & ECP
Glaucoma Surgery the Laser
MicroEndoscope is introduced through a
small incision already made during the
cataract procedure.
Side View
Showing cornea, iris,
ciliary body and lens.
The Laser MicroEndoscope is placed under
the Iris allowing the Surgeon to view and
direct controlled laser energy to the surface
cells of the ciliary processes.
Side View
Showing cornea, iris,
ciliary body and lens.
The cilary processes are a series of
organs located below the base of the
underside of the iris, which exude
aqueous fluid into the eye.
Side View
Showing cornea, iris,
ciliary body and lens.
The surface cells of the Ciliary Processes
absorb the laser energy, shrinking them
and inhibiting production of aqueous fluid.
Bottom View
Showing an Intraocular Lens,
the iris, and the ciliary body.
Laser Endoscope introduced.
Ciliary process is treated.
This video shows the
Ciliary Processes being
treated. As they absorb
laser energy they visibly
whiten and shrink.
Martin Uram, MD
Narrates Live Surgery
ECP Glaucoma Surgery at the
same time as Cataract Surgery can
typically be done in 5 to 8 minutes.
The combined procedures are
performed under local anesthesia
on an out patent basis.
CLINICAL OUTCOMES OVERVIEW
ECP has been performed in the United
States since early 1990’s.
The technique and technology has
evolved significantly over that term,
and ECP has established a record of
unparalleled safety and effectiveness in
the treatment of Primary Open Angle
Glaucoma, particularly when performed
with Cataract Surgery.
CLINICAL OUTCOMES OVERVIEW
Clinical Studies on ECP around the globe have
confirmed that:
50% - 55% of ECP patients are able to discontinue
Glaucoma Medications post operatively.
75% - 80% of ECP Patients are able to reduce number
and/or frequency of Glaucoma Medications.
Over 90% of ECP Patients experience a reduction in
IOP averaging around 25%.
Procedure Comparison Overview
Cataract Surgery
vs.
Simultaneous Cataract & ECP
MacKool ECP Study Group*
Eyes Treated in Study = 1008
Simultaneous Cataract & ECP Surgery on 506 eyes
Cataract Surgery alone on 502 eyes
Decrease in Glaucoma Medications
Simultaneous Cataract & ECP Surgery - 80.0%
Cataract Surgery alone - 14.0%
Elimination of all Glaucoma Medications
Simultaneous Cataract & ECP Surgery - 54.0%
Cataract Surgery alone - 9.4%
Richard MacKool, MD; Ophthalmology Management , 2003
ECP Warrants Consideration
Safe • Convenient • Effective
ECP is a proven safe and effective procedure to reduce
Intraocular pressure, particularly when performed in
conjunction with Cataract Surgery.
Most ECP Patients may reduce or eliminate
dependence on Glaucoma Medications
- Improved Compliance with Dosage Instructions
- Potential Reduction in Risk of Drug Interactions
- Potential Reduced of Costs of Ongoing Medications
Most ECP Patients experience a clinically significant
long term reduction in Intraocular pressure.
Simultaneous Cataract and
ECP Glaucoma Surgery
For More Information or to schedule an
appointment to evaluate your candidacy for
ECP Surgery, please contact:
Pam Morgan
Patient Services Director
Tel: (618) 545-6700
Email: [email protected]