[Canaloplasty. A new way in glaucoma surgery?].
Evaluation of the surgical treatment of open angle glaucoma depends on values, such as target pressure, success rates and complication rates. Canaloplasty is a new non-penetrating method for glaucoma surgery and the aim of this article is to present the surgical approach, indications, results and post-operative therapy. During the operation a viscocanalostomy according to Robert Stegmann is performed. Subsequently a microcatheter with an outer diameter of 200 μ is used to circumferentially dilate Schlemm's canal. During the dilation microvolumes of a high viscosity ophthalmic viscosurgical device (OVD) (sodium hyaluronate) are injected. After successful dilation the catheter is retracted and at the same time a 10.0 Prolene suture is placed in the canal and closed tightly to apply permanent tension to the trabecular meshwork.
Körber
N
N
Augencentrum Köln-Porz, Josefstraße 14, Köln, Germany. N.Koerber@gmx.de
D000328:Adult; D002408:Catheters, Indwelling; D002648:Child; D017889:Exfoliation Syndrome / Q000503:physiopathology / Q000601:surgery*; D005902:Glaucoma, Open-Angle / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D006820:Hyaluronic Acid / Q000008:administration & dosage; D007429:Intraocular Pressure / Q000502:physiology; D033401:Microscopy, Acoustic; D008866:Microsurgery / Q000295:instrumentation / Q000379:methods*; D011183:Postoperative Complications / Q000209:etiology / Q000503:physiopathology; D013536:Suture Techniques; D014130:Trabeculectomy / Q000379:methods*; D014792:Visual Acuity / Q000502:physiology
D006820:Hyaluronic Acid
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