Canaloplasty: an effective minimally invasive glaucoma surgery

Canaloplasty is a highly effective surgical technique for the treatment of open-angle glaucoma. Minimally invasive, it uses breakthrough microcatheter technology to restore the function of the eye’s natural outflow system. This advanced approach delivers a significant degree of intraocular pressure (IOP) reduction by comprehensively opening up all components of the eye’s natural pathways – 1. trabecular meshwork, 2. Schlemm’s canal, and 3. collector channels and distal outflow. During the procedure, visco-dilation of Schlemm’s canal acts as a form of angioplasty and opens up the ostia of the collector channels, re-establishing outflow.

Clinical studies have shown that Canaloplasty, performed alone or in conjunction with phacoemulsification, can significantly and durably reduce IOP without the risks and discomfort associated with trabeculectomy. It can therefore be offered earlier in the disease process. Canaloplasty can also be used in conjunction with existing drug-based glaucoma treatments, after laser or after incisional surgery and does not preclude or affect the outcome of future surgery.

The latest evolution in Canaloplasty is ABiC™, a subtle but significant refinement of traditional (ab-externo) Canaloplasty. ABiC™ follows the same dilation principles of traditional Canaloplasty, but with the speed and efficiency of a MIGS procedure. Performed via a self-sealing, clear corneal incision, ABiC™ can be combined with cataract surgery in order to optimize time in the operating room, or performed as a stand-alone procedure.

ABiC™ is recommended early in the disease process, thus the primary indication is for patients with mild-to-moderate glaucoma. It can be considered a first-line option or for patients who have undergone laser trabeculoplasty and those who are non-compliant with medications. ABiC™ is also fast and easy to perform. And when combined with cataract surgery, ABiC™ adds only five minutes to the total operating time.

To find out more about canaloplasty call us to schedule your consultation: 703-532-0728


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