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.

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