Surgical Treatment of Canine Glaucoma: Cyclodestructive Techniques

Dineli Bras; Federica Maggio

doi:10.1016/j.cvsm.2015.06.007

Surgical Treatment of Canine Glaucoma: Cyclodestructive Techniques

Vet Clin North Am Small Anim Pract. 2015 Nov;45(6):1283-305, vii. doi: 10.1016/j.cvsm.2015.06.007. Epub 2015 Sep 3.

Authors

Dineli Bras¹, Federica Maggio²

Affiliations

¹ Ophthalmology Department, Centro de Especialistas Veterinarios de Puerto Rico (CEVET), Km 0.1 Carr. 873, Guaynabo, PR 00969, USA. Electronic address: dbras@cevet.net.
² Ophthalmology Department, Tufts Veterinary Emergency Treatment and Specialties (Tufts VETS), 525 South Street, Walpole, MA 02081, USA.

PMID: 26342764
DOI: 10.1016/j.cvsm.2015.06.007

Abstract

Medical and surgical management of canine glaucoma can be challenging. The goal of surgical treatment is to manipulate the inflow and/or outflow of aqueous humor. This article describes the inflow-reducing, cyclodestructive techniques. Diode cyclophotocoagulation is the most common cyclodestructive procedure performed in humans and animals. Diode laser energy can be applied via a transscleral (transscleral cyclophotocoagulation [TSCP]) or an endoscopic (endoscopic cyclophotocoagulation [ECP]) approach. ECP provides direct visualization of the targeted ciliary body, allowing safer and more titratable treatment than TSCP techniques, offering a better long-term prognosis for vision and intraocular pressure control. Advancements in diode laser therapy seem promising.

Keywords: Canine; Cyclophotocoagulation; Endoscopic; Glaucoma; Laser; Transscleral.

Publication types

Review

MeSH terms

Animals
Dog Diseases / surgery*
Dogs
Laser Therapy / methods
Laser Therapy / veterinary*
Lasers, Semiconductor*
Lens Implantation, Intraocular / veterinary
Light Coagulation / methods
Light Coagulation / veterinary
Phacoemulsification / veterinary