Abstract
Canaloplasty is a relatively new surgical option in the treatment of open-angle glaucoma. This non-perforating technique uses a microcatheter connected to a flickering red light laser source, which is inserted within Schlemm’s canal. A 10-0 prolene suture is tied to the distal tip of the microcatheter, which is gently guided out of the canal in the opposite direction and then left tensioned while a small amount of viscoelastic agent is injected in Schlemm’s canal. The aim of this surgery is to facilitate aqueous outflow through natural pathways, with less risks of post-operative complications.
Highlights
Canaloplasty is a relatively new surgical option in the treatment of open-angle glaucoma
Canaloplasty is a new surgical technique used to treat various types of open angle glaucoma, which is similar to Stegmann’s viscocanalostomy. It is a non-perforating bleb-less technique, which involves positioning a 10-0 prolene suture that is left tensioned within Schlemm’s canal that is dilated with the use of viscoelastic. This surgery aims at facilitating aqueous outflow through natural pathways [1-9]
A deep scleral flap is sculpted, followed by the opening and deroofing of Schlemm’s canal. This surgical step is performed after paracentesis to avoid IntraOperatory Intraocular Pressure (IOP) spikes, reducing the risk of perforation of the trabeculo-descemet membrane
Summary
Canaloplasty is a relatively new surgical option in the treatment of open-angle glaucoma. Canaloplasty is a new surgical technique used to treat various types of open angle glaucoma, which is similar to Stegmann’s viscocanalostomy. It is a non-perforating bleb-less technique, which involves positioning a 10-0 prolene suture that is left tensioned within Schlemm’s canal that is dilated with the use of viscoelastic.
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