Canaloplasty Treatment is a surgical procedure to lower pressure for patients with glaucoma. It takes benefit of the eye's drainage system to safely treat elevated pressure. It uses a microcatheter or tube placed in the natural site of drainage for healthy eyes, medically known as Canal of Schlemm, to enlarge the drainage canal, relieving pressure inside the eye. Canaloplasty Treatment is a useful surgical option in patients with high risk for infection or bleeding suffering from open angle glaucoma. Patients who wear contact lenses are good candidates for this treatment. The microcatheter used in canaloplasty is widely used to treat children born with congenital glaucoma in the procedure known as trabeculectomy and has been used to deliver ocular medications to the back of the eye in patients with macular degeneration. It is especially good for young patients with a clear lens and is less likely to cause cataract progression. It should also be considered for high myopes who would be at high risk for hypotony with a trabeculectomy surgery. Post-surgery, antibiotics are given for one week and topical corticosteroids are used and tapered over four weeks. At one month postoperatively, if the intraocular pressure is not at target a YAG laser goniopuncture or bleb needling can be performed to convert the procedure into a full thickness filtration surgery. Canaloplasty offers an effective alternative for these patients as it aims to restore the physiologic outflow pathways independent of external wound healing. Canaloplasty may also be a better option for patients with active lifestyles who experience difficulty adhering to the rigorous postoperative care required after trabeculectomy.
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