Canaloplasty: Finding its Place in Glaucoma Surgery, A Surgeon’s One-Year Outcome Results

Glaucoma

Abstract

Introduction: Canaloplasty is a restorative procedure designed to re-establish the eye’s natural outflow drainage system to address increased intraocular pressure (IOP) associated with glaucoma [1]. Trabeculectomy has been the gold standard in the surgical treatment of glaucoma. It is however fraught with many complications – scarring, bleb infection, hypotony, .and multiple post operative visits which may require interventions. Newer procedures such as canaloplasty are aimed at alleviating some or all these concerns [2-4]. Canaloplasty involves the use of a patented microcatheter with inner lumen to inject a high viscosity sodium hyaluronate for safe and effective 360 degree dilation effect on Schlemm’s Canal, trabecular meshwork and the outflow collector channels enabling aqueous humor to exit as normal . The precursor to Canaloplasty - Viscocanaloplasty used special canulas to inject viscoelastic into Schlemm’s canal. However Canaloplasty has been shown to produce superior and consistent results [6] .