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. 2011 Oct;25(4):329-36.
doi: 10.1016/j.sjopt.2011.08.003. Epub 2011 Aug 16.

A review of canaloplasty

Ben J Harvey  1 , Mahmoud A Khaimi
Affiliations

A review of canaloplasty

Ben J Harvey et al. Saudi J Ophthalmol. 2011 Oct.

Abstract

Canaloplasty is a method of lowering intraocular pressure (IOP) by which a flexible, beacon-tipped microcatheter equipped with an ophthalmic viscosurgical device (OVD) delivery system is used to catheterize and introduce a suture into Schlemm's canal. Ligation of this suture provides tension on the canal and facilitates aqueous outflow. Canaloplasty is designed to be a blebless procedure that requires no antifibrotic agents and has been shown to safely and effectively lower IOP in patients with open-angle glaucoma (OAG) with minimal complications. Most importantly, no bleb-related adverse events are associated with this procedure. When contemplating surgical management of OAG, canaloplasty may be considered.

Keywords: Canaloplasty; Phacoemulsification; Schlemm’s canal; Trabeculectomy.

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Figures

Figure 1
Figure 1
Limbal peritomy.
Figure 2
Figure 2
Superficial scleral flap.
Figure 3
Figure 3
Deep scleral flap.
Figure 4
Figure 4
Anterior chamber paracentesis.
Figure 5
Figure 5
Creating descemet’s window.
Figure 6
Figure 6
Advancing the microcatheter through Schlemm’s canal.
Figure 7
Figure 7
Descemet membrane detachment with entrapped blood.
See this image and copyright information in PMC

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