Canaloplasty: Circumferential viscodilation and tensioning of Schlemm canal using a flexible microcatheter for the treatment of open-angle glaucoma in adults

Abstract

Canaloplasty was safe and effective in reducing IOP in adult patients with OAG.

Trabeculectomy versus canaloplasty (TVC study) in the treatment of patients with open‐angle glaucoma: a prospective randomized clinical trial

“…An intracorneal haematoma is rare and can be removed by stab incision (Tetz et al 2013), partial-thickness paracentesis (Gismondi & Brusini 2011) or Nd: YAG laser Descemet membranotomy (Robert & Harasymowycz 2013). Perforation of the trabeculo-Descemet window during dissection is an intraoperative complication during canaloplasty, which occurs in <10% of all cases (Shingleton et al 2008;Lewis et al 2009;Grieshaber et al 2010;Ayyala et al 2011;Bull et al 2011;Arthur et al 2013;Tetz et al 2013). These data are in line with our observations of Descemet detachment (6.7%) and hyphaema rate (23.3%) following canaloplasty.…”

“…With regard to complications, hyphaema is a common event after canaloplasty and is suggested as a positive predictor of surgical success as it indicates permeability of the distended trabecular meshwork (Shingleton et al 2008;Lewis et al 2009;Grieshaber et al 2010Grieshaber et al , 2013Ayyala et al 2011;Bull et al 2011;Arthur et al 2013;Matlach et al 2013;Tetz et al 2013). An intracorneal haematoma is rare and can be removed by stab incision (Tetz et al 2013), partial-thickness paracentesis (Gismondi & Brusini 2011) or Nd: YAG laser Descemet membranotomy (Robert & Harasymowycz 2013).…”

Effect of trabeculectomy and canaloplasty on intra‐ocular pressure modifications after postural changes in open‐angle glaucoma

“…However, in an attempt to improve the safety profile of glaucoma surgery, nonpenetrating procedures such as canaloplasty (CP) have been described. (Cameron et al 2006;Lewis et al 2009) In this procedure, IOP reduction is achieved by opening previously non-functional areas of the outflow system: a 10-0 prolene suture is placed and pulled within Schlemm's canal, thus facilitating outflow through collector channels and aqueous veins.…”

Advances in Glaucoma Surgery

“…Evidence shows that canaloplasty lowers IOP to lower-tomid-teens alone or when combined with cataract surgery in Recent Advances open angle glaucoma, with a percentage IOP reduction of 30-65%. 13,14 Phacoemulsification combined with canaloplasty gives superior results over canaloplasty alone.…”