Transscleral cyclophotocoagulation (TSCPC) is a specialized laser treatment used primarily to manage intraocular pressure (IOP) in patients with glaucoma. Unlike traditional surgical procedures, TSCPC is minimally invasive and offers an alternative for those who have not responded well to medications or other conventional treatments. This article explores the procedure, its indications, benefits, and considerations for patients and healthcare providers.

Transscleral cyclophotocoagulation involves using a laser to target and reduce the production of aqueous humor, the fluid inside the eye responsible for maintaining intraocular pressure. It works by applying laser energy through the sclera (the white part of the eye) to the ciliary body, which produces aqueous humor. By reducing the production of this fluid, TSCPC helps lower intraocular pressure, thereby preventing further damage to the optic nerve in glaucoma patients.

TSCPC is typically considered when other treatments such as medications (eye drops), laser trabeculoplasty, or traditional glaucoma surgeries like trabeculectomy or tube shunt implantation have not successfully controlled intraocular pressure. It may be recommended in the following situations:

1. Advanced Glaucoma: When the optic nerve damage is severe and traditional treatments have not been effective.
2. Failed Previous Surgeries: For patients who have not responded well to other surgical interventions.
3. Contraindications to Surgery: Some patients may have medical conditions that make traditional glaucoma surgery risky, and TSCPC can be a safer alternative.

During the procedure:

1. Preparation: The eye is numbed with local anesthesia, and a special contact lens is placed on the eye to deliver the laser energy precisely to the ciliary body.
2. Laser Application: The ophthalmologist directs the laser through the sclera to target the ciliary body. The laser emits energy that is absorbed by the tissue, causing a controlled decrease in the production of aqueous humor.
3. Post-Procedure: Patients may experience mild discomfort or irritation immediately after the procedure, which typically resolves quickly. Eye drops and medications may be prescribed to prevent infection and manage inflammation.

• Minimally Invasive: TSCPC is less invasive than traditional glaucoma surgeries, reducing the risk of complications such as infection or bleeding.
• Effective IOP Reduction: Studies have shown that TSCPC can effectively lower intraocular pressure, helping to preserve vision and prevent further damage to the optic nerve.
• Quick Recovery: Most patients recover quickly after TSCPC, with minimal downtime compared to traditional surgeries.

While TSCPC is generally considered safe and effective, there are some considerations:

• Limited Efficacy: It may not be suitable for all types of glaucoma or all stages of the disease. Some patients may require additional treatments or interventions.
• Temporary IOP Spikes: In some cases, there may be temporary increases in intraocular pressure following TSCPC, which typically resolves with appropriate management.
• Long-term Monitoring: Regular follow-up visits with an ophthalmologist are essential to monitor intraocular pressure and assess the progression of glaucoma.

Transscleral cyclophotocoagulation (TSCPC) represents an important option in the management of glaucoma, particularly for patients who have not responded well to other treatments. By reducing intraocular pressure through targeted laser therapy, TSCPC aims to preserve vision and improve quality of life for individuals living with this chronic eye condition. As with any medical procedure, it is crucial for patients to discuss the risks, benefits, and expectations with their healthcare provider to determine if TSCPC is the right choice for them.

In summary, TSCPC offers a valuable alternative in the armamentarium against glaucoma, showcasing advancements in ophthalmic care that prioritize efficacy, safety, and patient comfort.

World Eye Care Foundation’s eyecare.live brings you the latest information from various industry sources and experts in eye health and vision care. Please consult with your eye care provider for more general information and specific eye conditions. We do not provide any medical advice, suggestions or recommendations in any health conditions.