Canaloplasty: Current Value in the Management of Glaucoma

被引:23
作者
Cagini, Carlo [1 ]
Peruzzi, Claudia [1 ]
Fiore, Tito [1 ]
Spadea, Leopoldo [2 ]
Lippera, Myrta [3 ]
Lippera, Stefano [3 ]
机构
[1] Univ Perugia, Dept Surg & Biomed Sci, Osped S Maria della Misericordia, I-06156 Perugia, Italy
[2] Univ Roma La Sapienza, Dept Biotechnol & Med Surg Sci, I-04100 Latina, Italy
[3] Osped Fabriano, Area Vasta Marche 2, I-60044 Fabriano, Italy
关键词
OPEN-ANGLE GLAUCOMA; CLEAR CORNEAL PHACOEMULSIFICATION; CIRCUMFERENTIAL VISCODILATION; FLEXIBLE MICROCATHETER; SURGICAL OUTCOMES; TRABECULECTOMY; 3-YEAR; CATARACT; SURGERY; PHACOTRABECULECTOMY;
D O I
10.1155/2016/7080475
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
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 When the microcatheter exits the opposite end, a 10-0 prolene suture is tied and it is then withdrawn, by pulling microcatheter back through the canal in the opposite direction.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.
引用
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页数:6
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