How do you counsel patients when discussing risks/benefits of ECP vs. CPC?

I don't regularly use ECP, but I have a lot of experience with micropulse CPC (referred to as MP-TLT or MPCPC) and traditional CPC.

Firstly, although MPCPC involves less energy compared to traditional CPC, that does not mean that the procedure is without risk. Because of these risks, MPCPC should not be used in very early disease when there are adequate and safer alternatives such as drops and SLT.

For MPCPC, I discuss the benefits with the patient, which are likely lowering IOP and lowering medication burden. There is also virtually no risk of infection because it is a non-incisional procedure. The main risks I discuss are prolonged uveitis, CME, and impaired pupillary function. If a patient is phakic, there is a risk of cataract developme...

I agree with Dr. @Dr. First Last's answer. I don't have ECP access at my institution and typically don't perform Micropulse. I use traditional CPC with "low and slow" settings on all my patients who qualify for a CPC.

With that protocol, I counsel patients upfront on inflammatory response, CME, and the real risk of further vision loss and hypotony.