advertisement
Abstract #47939 Published in IGR 13-4
Canaloplasty: A step-by-step approach
Grieshaber MCTechniques in Ophthalmology 2011; 9: 76-83
Canaloplasty is a new nonpenetrating and bleb-independent procedure for glaucoma. It aims to target exclusively the site of maximal resistance to aqueous humor outflow, that is, the juxtacanalicular meshwork and inner wall of Schlemm canal, and to re-establish the physiological outflow system. A polypropylene tensioning suture is placed into the Schlemm canal after a 360-degree viscodilation to stretch the inner wall. Clinical studies showed canaloplasty to be very safe and efficient in lowering intraocular pressure. Technically, it is a challenging procedure, which requires a learning curve besides manual dexterity. Importantly, understanding the microanatomy of the outflow system from the surgical perspective is a prerequisite for successful canaloplasty. This article describes the technique step-by-step, provides the clinician with surgical pearls, and highlights the management of complications. Copyright (copyright) 2011 by Lippincott Williams & Wilkins.
M.C. Grieshaber. Department of Ophthalmology, University Hospital Basel, Mittlere Strasse 91, CH-4031 Basel, China. Email: mgrieshaber@uhbs.ch
Classification:
12.9 Trabeculotomy, goniotomy (Part of: 12 Surgical treatment)