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Updated: Jun 9, 2026
05:05
Ultrasound Cyclo Plasty in Eyes with Glaucoma
Published on: January 26, 2018
[Canaloplasty. A new way in glaucoma surgery?]
1Augencentrum Köln-Porz, Josefstraße 14, Köln, Germany. N.Koerber@gmx.de
Summary
Canaloplasty, a novel non-penetrating glaucoma surgery, involves dilating Schlemm's canal with a microcatheter and a viscoelastic device. This technique aims to improve intraocular pressure control and reduce complications in open-angle glaucoma patients.
Area of Science:
- Ophthalmology
- Surgical Innovation
- Glaucoma Treatment
Context:
- Open-angle glaucoma management relies on metrics like target pressure, success rates, and complication profiles.
- Evaluating surgical interventions is crucial for optimizing patient outcomes in glaucoma care.
Purpose:
- To detail the surgical technique, indications, outcomes, and postoperative management of canaloplasty.
- To provide a comprehensive overview of this minimally invasive glaucoma surgery.
Summary:
- Canaloplasty involves performing a viscocanalostomy followed by circumferential dilation of Schlemm's canal using a 200 μm microcatheter and ophthalmic viscosurgical device (OVD).
- A 10.0 Prolene suture is inserted and tightened post-dilation to maintain tension on the trabecular meshwork, enhancing aqueous outflow.
Impact:
- This procedure offers a new non-penetrating surgical option for open-angle glaucoma.
- Potential to improve intraocular pressure control and reduce the need for medication or more invasive surgeries.
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