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Journal of Ophthalmology
Volume 2015, Article ID 485065, 5 pages
http://dx.doi.org/10.1155/2015/485065
Review Article

Canaloplasty: A Minimally Invasive and Maximally Effective Glaucoma Treatment

Dean McGee Eye Institute, University of Oklahoma, Oklahoma City, OK 73104, USA

Received 30 June 2015; Accepted 3 September 2015

Academic Editor: Jens Funk

Copyright © 2015 Mahmoud A. Khaimi. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Canaloplasty is a highly effective, minimally invasive, surgical technique indicated for the treatment of open-angle glaucoma that works by restoring the function of the eye’s natural outflow system. The procedure’s excellent safety profile and long-term efficacy make it a viable option for the majority of glaucoma patient types. It can be used in conjunction with existing drug based glaucoma treatments, after laser or other types of incisional surgery, and does not preclude or affect the outcome of future surgery. Numerous scientific studies have shown Canaloplasty to be safe and effective in lowering IOP whilst reducing medication dependence. A recent refinement of Canaloplasty, known as ab-interno Canaloplasty (ABiC), maintains the IOP-lowering and safety benefits of traditional (ab-externo) Canaloplasty using a more efficient, simplified surgical approach. This paper presents a review of Canaloplasty indications, clinical data, and complications, as well as comparisons with traditional incisional glaucoma techniques. It also addresses the early clinical evidence for ABiC.