Trans-scleral Cyclophotocoagulation Curriculum: Lecture and Skills Practice

Publication ID Published Volume
10620 August 16, 2017 13

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Introduction: Trans-scleral cyclophotocoagulation (TS-CPC) is a laser procedure that is often used in the treatment of end-stage glaucoma and glaucoma that is refractory to medical and surgical treatments. However, formal teaching in proper indications and techniques for TS-CPC can be improved in many institutions. In an effort to standardize TS-CPC teaching, a TS-CPC lecture curriculum and a skills practice session were introduced. Methods: The lecture and the wet-lab curriculum were developed at the University of Washington to formally teach first- and second-year ophthalmology residents the indications and techniques for TS-CPC. A global rating scale of procedural performance was also developed to assist in evaluating the trained residents on their first three TS-CPC procedures. Results: Since its introduction in 2017, the course has been highly rated by seven residents (five PGY-2 and two PGY-3), with an increase in pre- versus posttest scores, as well as an increase in pre- versus postcurriculum scores for three survey questions regarding curriculum objectives. Discussion: We feel that this course is valuable in improving learner knowledge of and confidence in performing TS-CPC. Knowledge about indications and technical aspects of TS-CPC improved on testing following the curriculum, as did the self-assessed confidence levels of the residents. Furthermore, there were a number of positive descriptive comments made by the residents. We plan to hold this training session every year at our institution.


Wen JC, Banitt MR. Trans-scleral cyclophotocoagulation curriculum: lecture and skills practice. MedEdPORTAL Publications. 2017;13:10620.

Educational Objectives

By the end of this session, learners will be able to:

  1. List the indications for trans-scleral cyclophotocoagulation (TS-CPC).
  2. Accurately explain the TS-CPC procedure to, obtain informed consent (including risks of the procedure) from, and discuss postprocedure management with patients.
  3. Perform safe and effective TS-CPC.
  4. Evaluate their own performance of the first three TS-CPC procedures on patients using a global rating scale of procedural performance.


  • Trans-scleral Cyclophotocoagulation, Glaucoma, Laser, Wet Lab, Ophthalmology


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