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HOME > Physician Education > Glaucoma > TSCPC G-Probe ...

Physician Education

Learn how to perform transscleral cyclophotocoagulation (TSCPC) with the G-Probe® glaucoma device

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gprobe

G-Probe® Glaucoma Device

Transscleral cyclophotocoagulation (TSCPC) using the G-Probe glaucoma device is a long-term, effective intraocular pressure lowering procedure for many types of glaucoma patients. Patients with refractory glaucoma and those with good visual acuity can benefit from TSCPC using the G-Probe.


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Treatment Parameters

G-Probe treatment   G-Probe placement   G-Probe application

Placement

Hold the G-Probe® parallel to the visual axis with the shorter edge of the footplate firmly between the anterior border and the middle of the limbus. Laser delivery is transscleral.

 

Application

Successive applications are spaced one-half the width of the G-Probe footplate apart by aligning a side of the probe over the indented center of the adjacent application.

 

Treatment

Administer 18-21 laser applications per treatment session over 270° (three quadrants, six or seven applications per quadrant), usually omitting the temporal quadrant.

G-Probe treatment parameters are suggested by Iridex and are based on recommendations by experienced clinicians. Ultimately, it is the physician’s responsibility to determine appropriate treatment parameters for each case.

Iris Color

Power

Duration

Energy per Application

Dark Brown
1250 mW
4000 ms 5.00 joules
All other
1500 mW
3500 ms
5.25 joules

This array of treatment parameters has been called the “slow coagulation” technique and has proven effective for most eyes.


pdf Download G-Probe Instructions For Use

Laser-Assisted, Non-incisional Glaucoma Therapy

Nathan Radcliffe, MD
Ike Ahmed, MD

G-Probe discussion begins at 24:30.

Relooking at Transscleral Cyclophotocoagulation:
Old and New Thoughts

Iqbal Ahmed, MD
Nir Shoham Hazon, MD

Expanding Indications for TSCPC

Nathan Radcliffe, MD

Slow Coagulation Technique

Parameters for using the G-Probe glaucoma device.

TSCPC Surgery

Combination cataract TSCPC case using the G-Probe glaucoma device

What is TSCPC?

Reduction in aqueous humor formation by coagulating proteins in cells of the ciliary body and processes.

TSCPC Patient Selection

Selecting the right glaucoma patient for TSCPC

 

Advances in Cyclophotocoagulation Glaucoma Today

CPC has evolved to a refined technique that can be used to manage many different stages of glaucoma.
Jeffrey Kammer, MD

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Revisiting TSCPC as an OptionOphthalmology Today

Procedure has ability to lower IOP, preserve vision similar to trabeculectomy and tube shunts

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Transscleral cyclophotocoagulation effective as early glaucoma treatment

Although typically a last line of defense, the treatment has shown to be beneficial early in the glaucoma surgical treatment paradigm.
Parag Parekh, MD

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Office-Based TSCPC With the Iridex G-Probe

This noninvasive procedure offers similar IOP-lowering efficacy as traditional glaucoma surgeries with an improved safety profile.

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Diode Laser CyclophotocoagulationGlaucoma Today

Technique and results.

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Reconsidering Transscleral CyclophotocoagulationGlaucoma Today

Leading glaucoma experts discuss the applications of TSCPC and share their personal experiences and opinions

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The Benefits of Transscleral CyclophotocoagulationGlaucoma Today

This viable alternative to trabeculectomy should be considered in more moderate to severe glaucoma cases

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Current Options for CyclophotocoaglationGlaucoma Today

An overview of transscleral diode photocoagulation and endocyclophotocoagulation

pdf Download Now

kammer

We're increasingly using the G-Probe for TSCPS in eyes that have good vision as an alternative to filters.

Dr. Iqbal (Ike) Ahmed | Toronto, Canada | University of Toronto

kammer

You can really consider TSCPC in almost all glaucoma situations, even malignant glaucoma. It is not just relegated to end-stage treatment anymore.

Dr. Jeffrey Kammer | Nashville, TN | Vanderbilt Eye Institute

kammer

TSCPC is a surgery that can be done before or after any other surgery. It is very versatile from that standpoint.

Dr. Nathan Radcliffe | New York, NY | Weill Cornell Medical College

kammer

Recovery with TSCPC is much more rapid and the postoperative care much less involved than with someone who has had an incisional glaucoma case in a surgical center.

Dr. Steven Vold | Springdale, AR | Vold Vision, PLLC

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