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Abstract #67422 Published in IGR 17-4
Canaloplasty: Current Value in the Management of Glaucoma
Cagini C; Peruzzi C; Fiore T; Spadea L; Lippera M; Lippera SJournal of Ophthalmology 2016; 2016: 7080475
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 When the microcatheter exits the opposite end, a 10-0 prolene suture is tied and it is then withdrawn, by pulling microcatheter back through the canal in the opposite direction.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.
Department of Surgery and Biomedical Science, University of Perugia, Ospedale S. Maria della Misericordia, 06156 Perugia, Italy.
Full articleClassification:
12.8.3 Non-perforating (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
