[Canaloplasty : a New Alternative in Non-penetrating Glaucoma Surgery]

Overview

Journal Ophthalmologe

Specialty Ophthalmology

Date 2010 Dec 18

PMID 21165623

Citations 12

Authors

M Matthaei

J Steinberg

A Wiermann

G Richard

M Klemm

Affiliations

Soon will be listed here.

Abstract

Background: Canaloplasty provides a new option in non-penetrating glaucoma surgery. The aim of this study is to examine its early postsurgical safety and efficacy.

Patients And Methods: This was a retrospective study of canaloplasties performed at our institution in 2009 (n=46, 13 of which were combined with cataract surgery). The mean follow-up was 6.0±3.4 months. The most important parameters examined were intraocular pressure (IOP), number of topical medications, postoperative complications, and required additional surgery.

Results: Mean presurgical IOP: 18.2±5.8 mmHg on a mean of 2.3±1.2 applied topical medications. Mean postsurgical IOP: 12.3±5.1 mmHg at 3 months, 11.7±3.0 mmHg at 6 months, and 12.6±2.4 mmHg at 12 months. Number of postsurgical medications: 0.8±1.1 at 3 months, 1.2±1.3 at 6 months, and 1.0±1.1 at 12 months. The most frequent postoperative complications were transient hypotension (32.6%), bleb leakage (26.1%), and microhyphema (23.9%). Revision surgery was required in 8.7% of all patients.

Conclusions: Canaloplasty showed a good IOP-reducing effect. Complications occurred mostly temporarily and were of a controllable nature.

Citing Articles

Outcomes of 360° suture trabeculotomy after unsuccessful canaloplasty.

Baumgarten S, Kurten D, Lohmann T, Schellhase H, Plange N, Walter P Graefes Arch Clin Exp Ophthalmol. 2019; 258(2):387-393.

PMID: 31811364 DOI: 10.1007/s00417-019-04545-2.

European Glaucoma Society Terminology and Guidelines for Glaucoma, 4th Edition - Chapter 3: Treatment principles and options Supported by the EGS Foundation: Part 1: Foreword; Introduction; Glossary; Chapter 3 Treatment principles and options.

Br J Ophthalmol. 2017; 101(6):130-195.

PMID: 28559477 PMC: 5583689. DOI: 10.1136/bjophthalmol-2016-EGSguideline.003.

A System Review and Meta-Analysis of Canaloplasty Outcomes in Glaucoma Treatment in Comparison with Trabeculectomy.

Zhang B, Kang J, Chen X J Ophthalmol. 2017; 2017:2723761.

PMID: 28540081 PMC: 5429958. DOI: 10.1155/2017/2723761.

[Comparison of trabeculectomy and canaloplasty : Pressure reducing effect and postoperative interventions/complications].

Taruttis T, Chankiewitz E, Hammer T Ophthalmologe. 2017; 115(2):137-144.

PMID: 28210791 DOI: 10.1007/s00347-017-0449-3.

Evaluation of Outflow Structures In Vivo after the Phacocanaloplasty.

Paulaviciute-Baikstiene D, Vaiciuliene R, Jasinskas V, Januleviciene I J Ophthalmol. 2016; 2016:4519846.

PMID: 27516898 PMC: 4969526. DOI: 10.1155/2016/4519846.

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