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2016 ; 2016
(ä): 7080475
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Canaloplasty: Current Value in the Management of Glaucoma
#MMPMID27239337
Cagini C
; Peruzzi C
; Fiore T
; Spadea L
; Lippera M
; Lippera S
J Ophthalmol
2016[]; 2016
(ä): 7080475
PMID27239337
show ga
Canaloplasty is a nonpenetrating blebless surgical technique for open-angle
glaucoma, in which a flexible microcatheter is inserted within Schlemm's canal
for the entire 360 degrees. When the microcatheter exits the opposite end, a 10-0
prolene suture is tied and it is then withdrawn, by pulling microcatheter back
through the canal in the opposite direction. Ligation of prolene suture provides
tension on the canal and facilitates aqueous outflow. The main advantage of
canaloplasty is that this technique avoids the major complications of fistulating
surgery related to blebs and hypotony. Currently, canaloplasty is performed in
glaucoma patients with early to moderate disease and combination with cataract
surgery is a suitable option in patients with clinically significant lens
opacities.