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Journal of Ophthalmology
Volume 2016 (2016), Article ID 7080475, 6 pages
http://dx.doi.org/10.1155/2016/7080475
Review Article

Canaloplasty: Current Value in the Management of Glaucoma

1Department of Surgery and Biomedical Science, University of Perugia, Ospedale S. Maria della Misericordia, 06156 Perugia, Italy
2Department of Biotechnology and Medical-Surgical Sciences, “Sapienza” University of Rome, 04100 Latina, Italy
3Area Vasta 2 Marche, Ospedale di Fabriano, 60044 Fabriano, Italy

Received 25 December 2015; Accepted 17 April 2016

Academic Editor: Vital P. Costa

Copyright © 2016 Carlo Cagini et al. 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 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 When the microcatheter exits the opposite end, a 10-0 prolene suture is tied and it is then withdrawn, by pulling microcatheter back through the canal in the opposite direction.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.