Canaloplasty: Current Value in the Management of Glaucoma

Canaloplasty is a nonpenetrating blebless surgical technique for open-angle glaucoma, in which a flexible microcatheter is inserted within Schlemm’s canal for the entire 360 degrees. When the microcatheter exits the opposite end, a 10-0 prolene suture is tied and it is then withdrawn, by pulling mic...

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Bibliographic Details
Published in:Journal of ophthalmology 2016-01, Vol.2016 (2016), p.1-6
Main Authors: Lippera, Myrta, Spadea, Leopoldo, Fiore, Tito, Peruzzi, Claudia, Cagini, Carlo, Lippera, Stefano
Format: Article
Language:English
Subjects:
Canaloplasty
Care and treatment
Diagnosis
Dissection
Glaucoma
Lasers
Patients
Review
Stents
Success
Surgery
Ultrasonic imaging
Viscoelasticity
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Summary:Canaloplasty is a nonpenetrating blebless surgical technique for open-angle glaucoma, in which a flexible microcatheter is inserted within Schlemm’s canal for the entire 360 degrees. When the microcatheter exits the opposite end, a 10-0 prolene suture is tied and it is then withdrawn, by pulling microcatheter back through the canal in the opposite direction. Ligation of prolene suture provides tension on the canal and facilitates aqueous outflow. The main advantage of canaloplasty is that this technique avoids the major complications of fistulating surgery related to blebs and hypotony. Currently, canaloplasty is performed in glaucoma patients with early to moderate disease and combination with cataract surgery is a suitable option in patients with clinically significant lens opacities.
ISSN:2090-004X
2090-0058
DOI:10.1155/2016/7080475