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Canaloplasty in Open-Angle Glaucoma Surgery: A Four-Year Follow-Up
Author
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-01-16
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Medicine
Information Technology and Computer Science
Abstract EN
Canaloplasty is a new nonperforating surgical technique for open-angle glaucoma, in which a microcatheter is inserted within Schlemm’s canal for the entire 360 degrees.
A 10-0 prolene suture, which is tied to the distal tip of the microcatheter, is then positioned and left tensioned in Schlemm’s canal, thus facilitating aqueous outflow through natural pathways.
A small amount of viscoelastic agent is delivered in Schlemm’s canal while the catheter is withdrawn.
The mid-term results are very promising.
Based on our cohort of 214 patients, the percentages of eyes that obtained postoperative IOP ≤ 21 mmHg, ≤18 mmHg, and ≤16 mmHg with or without medical therapy after 2 and 3 years were 88.7%, 73.7%, and 46.2% (2 years); 86.2%, 58.6%, and 37.9% (3 years), respectively.
The most frequent complications observed included hyphema; descemet membrane detachment; IOP spikes; and hypotony.
The advantages of canaloplasty over trabeculectomy include (1) no subconjunctival bleb; (2) no need for antimetabolites; (3) fewer postoperative complications; and (4) a simplified follow-up.
The disadvantages include the following: (1) a long and rather steep surgical learning curve; (2) the need of specific instruments; (3) average postoperative IOP levels tend not to be very low; and (4) impossibility to perform the entire procedure in some cases.
American Psychological Association (APA)
Brusini, Paolo. 2014. Canaloplasty in Open-Angle Glaucoma Surgery: A Four-Year Follow-Up. The Scientific World Journal،Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-1049735
Modern Language Association (MLA)
Brusini, Paolo. Canaloplasty in Open-Angle Glaucoma Surgery: A Four-Year Follow-Up. The Scientific World Journal No. 2014 (2014), pp.1-7.
https://search.emarefa.net/detail/BIM-1049735
American Medical Association (AMA)
Brusini, Paolo. Canaloplasty in Open-Angle Glaucoma Surgery: A Four-Year Follow-Up. The Scientific World Journal. 2014. Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-1049735
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1049735