[Canaloplasty. A new way in glaucoma surgery?]

Ophthalmologe. 2010 Dec;107(12):1169-75. doi: 10.1007/s00347-010-2234-4.
[Article in German]

Abstract

Evaluation of the surgical treatment of open angle glaucoma depends on values, such as target pressure, success rates and complication rates. Canaloplasty is a new non-penetrating method for glaucoma surgery and the aim of this article is to present the surgical approach, indications, results and post-operative therapy. During the operation a viscocanalostomy according to Robert Stegmann is performed. Subsequently a microcatheter with an outer diameter of 200 μ is used to circumferentially dilate Schlemm's canal. During the dilation microvolumes of a high viscosity ophthalmic viscosurgical device (OVD) (sodium hyaluronate) are injected. After successful dilation the catheter is retracted and at the same time a 10.0 Prolene suture is placed in the canal and closed tightly to apply permanent tension to the trabecular meshwork.

Publication types

  • English Abstract

MeSH terms

  • Adult
  • Catheters, Indwelling*
  • Child
  • Exfoliation Syndrome / physiopathology
  • Exfoliation Syndrome / surgery*
  • Glaucoma, Open-Angle / physiopathology
  • Glaucoma, Open-Angle / surgery*
  • Humans
  • Hyaluronic Acid / administration & dosage
  • Intraocular Pressure / physiology
  • Microscopy, Acoustic
  • Microsurgery / instrumentation
  • Microsurgery / methods*
  • Postoperative Complications / etiology
  • Postoperative Complications / physiopathology
  • Suture Techniques
  • Trabeculectomy / methods*
  • Visual Acuity / physiology

Substances

  • Hyaluronic Acid