Canaloplasty in patients with uveitic glaucoma: a pilot study

Abstract

At 2-year follow-up, overall success rate was 58 % (IOP ≤ 15 with or without medication), and surgery failed in 5 eyes, 2 eyes requiring additional glaucoma surgery. No harmful complications or worsening of uveitis activity were noted.

A System Review and Meta-Analysis of Canaloplasty Outcomes in Glaucoma Treatment in Comparison with Trabeculectomy

“…The secondary outcomes were the complete and qualified successful rates and the incidence of adverse events. A complete success is defined as that a confirmed IOP is less than a given level without any AGMs; a qualified success is defined as that a confirmed IOP is less than a given level with or without AGMs [7]. The outcomes and research information were extracted by two researchers (Bing and Jie) independently.…”

Canaloplasty in the Treatment of Open-Angle Glaucoma: A Review of Patient Selection and Outcomes

“…Patients affected by pigmentary glaucoma or pseudoexfoliative glaucoma are candidates for this surgery as well as long as the irido-corneal angle is open and easily accessible. A few reports have described the use of CP in patients affected by juvenile glaucoma [ 34 ] and in some phenotypes of secondary glaucoma, such as steroid-induced glaucoma [ 35 ] or glaucoma secondary to uveitis [ 36 ]. An exploratory indication for CP may be in patients with a previous failed TRAB when gonioscopic examination reveals an intact Schlemm’s canal [ 37 , 38 ] or even in case of a disrupted canal wall [ 39 , 40 ] (Fig.…”

<p>Canaloplasty in the Treatment of Primary Open-Angle Glaucoma: Patient Selection and Perspectives</p>

“…Conversely, following canaloplasty phacoemulsification only has a slightly positive impact with there being an overall benefit to the IOP lowering effects. [58][59][60] Canaloplasty may also be a safe and effective surgical option in patients with open-angle uveitic glaucoma, 61,62 although it is not widely considered a first choice surgery due to the possibility of late suture erosion through TM associated with inflammation in these patients. 61 This group of individuals is unique, with them being younger when compared to other OAG patients and their tendency to aggressive wound healing.…”

“…[58][59][60] Canaloplasty may also be a safe and effective surgical option in patients with open-angle uveitic glaucoma, 61,62 although it is not widely considered a first choice surgery due to the possibility of late suture erosion through TM associated with inflammation in these patients. 61 This group of individuals is unique, with them being younger when compared to other OAG patients and their tendency to aggressive wound healing. The standard surgical procedure to treat uveitic glaucoma is trabeculectomy with mitomycin C or with the insertion of a glaucoma drainage device and both may lead to high rates of scarring and filtering bleb encapsulation.…”