Treatment Overview
Endocyclophotocoagulation (ECP) in Korea is a minimally invasive glaucoma laser procedure that targets the ciliary body—the part of the eye responsible for producing aqueous humor—to safely reduce intraocular pressure (IOP). Using an endoscopic probe with an integrated camera and laser, surgeons precisely photocoagulate the ciliary processes from inside the eye.
Korean glaucoma centers excel in high-resolution endoscopy, AI-calibrated laser dosing, 360° ciliary body imaging, and combined cataract + ECP procedures, making the treatment highly effective, controlled, and safe for many glaucoma types.
Purpose & Benefits
Purpose
- Reduce aqueous humor production by photocoagulating the ciliary processes.
- Lower IOP in patients with mild, moderate, or advanced glaucoma.
- Provide a safer alternative to external cyclodestructive procedures.
- Offer a minimally invasive option compatible with cataract surgery.
Benefits
- High Precision: Real-time visualization ensures targeted laser application.
- Minimal Trauma: Internal approach reduces risk of external tissue damage.
- Fast Recovery: Less inflammation and faster healing than external CPC.
- Customizable Treatment: Laser dosage adjusted based on real-time tissue response.
- Low Complication Rate: Safer than traditional cyclodestruction.
- Flexible: Suitable for various glaucoma stages and types.
- Often Combined With Cataract Surgery: Enhances IOP control during phaco procedures.
Ideal Candidates
Endocyclophotocoagulation in Korea is ideal for:
- Patients with mild to moderate glaucoma needing additional IOP reduction.
- Individuals with advanced glaucoma where medication alone is insufficient.
- Those undergoing combined cataract + glaucoma surgery.
- Patients intolerant to glaucoma medications.
- Individuals seeking a safer alternative to diode CPC.
- Suitable for open-angle, angle-closure, and secondary glaucomas including:
- Pseudoexfoliative glaucoma
- Pigmentary glaucoma
- Steroid-induced glaucoma
- Uveitic glaucoma (controlled inflammation)
Possible Risks & Complications
ECP is very safe, but potential risks include:
- Mild inflammation: Common and short-lived.
- Temporary blurred vision: Usually resolves within days.
- Small IOP spikes: May occur initially.
- Corneal edema: Uncommon and typically temporary.
- Rare ciliary body over-treatment: Prevented using real-time visualization and AI-calibrated laser power.
Korean clinics minimize risks through endoscopic imaging, laser titration, and precise anatomical targeting.
Types of ECP Procedures in Korea
Single-Quadrant ECP
Targets 90° of ciliary processes for mild cases.
Two-Quadrant ECP
Treats 180° of the ciliary body for greater IOP reduction.
Three- or Four-Quadrant (360°) ECP
Provides maximum effect for advanced glaucoma.
Combined Phaco–ECP
Performed during cataract surgery for stronger and immediate IOP reduction.
ECP With MIGS
Combined with goniotomy, stenting, or canaloplasty for multi-mechanism control.
Surgical Techniques
Precision Endoscopic Visualization
Surgeon views the ciliary processes in real time using an endoscopic camera.
AI-Guided Laser Calibration
Adjusts energy settings for optimal photocoagulation without damaging nearby structures.
Minimally Invasive Access
Performed through a tiny corneal incision or during cataract surgery.
Controlled Tissue Photocoagulation
Laser shrinks the ciliary processes to reduce fluid production.
Smooth Probe Navigation
Ensures consistent coverage and safety across treatment zones.
Treatment Process in Korea
Step 1 – Full Glaucoma Evaluation
Includes IOP measurement, OCT, visual field testing, and anterior chamber imaging.
Step 2 – Surgical Planning
Surgeon determines treatment arc (90°–360°) and whether to combine with cataract surgery.
Step 3 – Endocyclophotocoagulation
Endoscopic probe visualizes and treats the ciliary processes with targeted laser energy.
Step 4 – Postoperative Care
Anti-inflammatory drops begin; IOP monitored closely.
Step 5 – Follow-Up Visits
Regular examinations confirm reduction in IOP and inflammation.
Treatment Duration: 10–20 minutes (ECP alone)
Setting: Outpatient surgical suite
Recovery & After-Care
After-Care Guidelines
- Continue prescribed eye drops for 2–4 weeks.
- Avoid eye rubbing or strenuous activities initially.
- Wear UV-protective eyewear outdoors.
- Follow medication instructions closely.
- Attend scheduled follow-up visits for IOP checks.
Recovery Timeline
- Days 1–3: Mild discomfort or blurriness; inflammation decreases.
- Week 1: Noticeable IOP stabilization.
- Weeks 2–4: Vision clears; ciliary body adapts.
- Months 1–3: Long-term IOP reduction is fully established.
Results & Longevity
Expected Results
- Effective IOP reduction without external tissue destruction.
- Lower medication burden for many patients.
- Smooth and controlled postoperative course.
- Enhanced outcomes when combined with cataract surgery.
Longevity
- Effects often last 3–7+ years, depending on glaucoma severity.
- Repeatable if additional IOP control is needed.
- Korea’s precision-guided ECP protocols improve long-term stability.
Why Korea Is a Top Destination
- Advanced endoscopic imaging systems for high-definition visualization.
- AI-assisted laser dosing for customized energy delivery.
- Low complication rates due to controlled internal approach.
- Strong experience with combined cataract + ECP surgeries.
- Comprehensive postoperative monitoring and glaucoma care.
Unique Korean Innovations
- 360° panoramic endoscopic visualization.
- AI-guided laser titration for tissue-specific targeting.
- Hybrid ECP + MIGS combinations for multi-mechanism pressure control.
- Real-time thermal feedback systems.
- Predictive modeling for long-term IOP stability.
Cost Range (Indicative Estimate)
| Treatment Package | Price (KRW) | Approx. USD | Inclusions |
|---|---|---|---|
| Standard ECP (1–2 quadrants) | ₩1,800,000 – ₩2,800,000 | ~$1,350 – $2,100 | Endoscopic laser + routine care |
| 360° ECP Program | ₩3,200,000 – ₩4,500,000 | ~$2,400 – $3,400 | Full circumferential ECP + imaging |
| Combined Cataract + ECP | ₩5,000,000 – ₩7,000,000+ | ~$3,800 – $5,300+ | Phaco + ECP + extended follow-up |
Popular Clinics in Korea
- B&VIIT Eye Center (Seoul) – Experts in advanced endoscopic glaucoma care.
- Dream Eye Center (Seoul) – Leaders in phaco–ECP combination treatments.
- BGN Eye Clinic (Busan & Seoul) – Specialists in multi-quadrant and 360° ECP.
- Glory Seoul Eye Clinic – High-definition endoscope-assisted ECP.
- K-Cure Vision Center (Gangnam) – Innovators in AI-guided ECP protocols.
