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ECP has shown improved outcomes with the improvement in fiber optics and laser technology, as well as treatment algorithms that have allowed for more aggressive treatment and better IOP lowering outcomes. ECP also is the one procedure that works on the inflow aspect of aqueous flow through selective ablation of the ciliary epithelium and can be used in conjunction with outflow procedures. Canaloplasty (iScience Interventional) has emerged as an effective procedure that lowers IOP over an extended period of time through augmenting the eyes natural outflow apparatus. Canaloplasty appears to lower IOP through the creation of a Descemet’s window and dilation and tensioning the trabecular meshwork using a unique microcatheter system with the placement of a suture in Schlemm’s canal. Felt by some surgeons to be technically challenging, the clinical data around IOP lowering is compelling.