During transscleral cyclophotocoagulation, a specialized laser is used to apply thermal energy to the layer of tissue beneath the sclera (the white outer layer of the eye) and over the ciliary body (a structure inside the eye that produces intraocular fluid). This thermal energy reduces the production of intraocular fluid, lowering intraocular pressure, which helps prevent optic nerve damage and the vision loss associated with glaucoma.

Transscleral cyclophotocoagulation is performed under local anesthesia or sedation. The ophthalmologist uses a special laser to apply thermal energy to the targeted area of the eye. The procedure typically lasts between 15 and 30 minutes.

Benefits of Transscleral Cyclophotocoagulation:

  • Effectiveness: It can be an effective treatment for glaucoma in patients who have not responded to medications or traditional laser surgery.
  • Minimizes risks: Compared to other glaucoma procedures, transscleral cyclophotocoagulation presents a lower risk of complications, such as cataracts or eye infections.
  • Outpatient procedure: Transscleral cyclophotocoagulation is performed on an outpatient basis, meaning there is no need for hospital admission.
  • Quick recovery: Most patients experience a quick recovery after transscleral cyclophotocoagulation and can resume their daily activities within a few days.

Who is a candidate for Transscleral Cyclophotocoagulation?

Transscleral cyclophotocoagulation may be a suitable treatment option for glaucoma patients who:

  • Have not responded to medications or traditional laser surgery.
  • Have narrow-angle glaucoma.
  • Have concomitant eye diseases that make other procedures riskier.
  • Prefer a minimally invasive treatment option.

Some discomfort or mild eye irritation, such as itching, mild pain, or blurred vision, is normal after transscleral cyclophotocoagulation. These symptoms are usually temporary and disappear within a few days. Your ophthalmologist will prescribe medication to ease discomfort and monitor your intraocular pressure to ensure the treatment has been effective.

If you are suffering from glaucoma, it’s important to consult with an ophthalmologist to discuss available treatment options, including transscleral cyclophotocoagulation. Early detection and treatment of glaucoma can help prevent vision loss and preserve your eye health.