Canaloplasty in the Treatment of Primary Open-Angle Glaucoma: Patient Selection and Perspectives

Anna Byszewska,1 Joanna Konopińska,2 Aleksandra Kinga Kicińska,1 Zofia Mariak,2 Marek Rękas1 1Department of Ophthalmology, Military Institute of Medicine, Warsaw 04-141, Poland; 2Department of Ophthalmology, Medical University of Białystok, Białystok 15-276, PolandCorrespondence: Anna ByszewskaDepar...

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Autores principales:	Byszewska A, Konopińska J, Kicińska AK, Mariak Z, Rękas M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	glaucoma canaloplasty canaloplasty qualification Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/457425f2e0b14a4089fe6f1e58acc17e
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spelling	oai:doaj.org-article:457425f2e0b14a4089fe6f1e58acc17e2021-12-02T05:43:26ZCanaloplasty in the Treatment of Primary Open-Angle Glaucoma: Patient Selection and Perspectives1177-5483https://doaj.org/article/457425f2e0b14a4089fe6f1e58acc17e2019-12-01T00:00:00Zhttps://www.dovepress.com/canaloplasty-in-the-treatment-of-primary-open-angle-glaucoma-patient-s-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Anna Byszewska,1 Joanna Konopińska,2 Aleksandra Kinga Kicińska,1 Zofia Mariak,2 Marek Rękas1 1Department of Ophthalmology, Military Institute of Medicine, Warsaw 04-141, Poland; 2Department of Ophthalmology, Medical University of Białystok, Białystok 15-276, PolandCorrespondence: Anna ByszewskaDepartment of Ophthalmology, Military Institute of Medicine, Ul. Szaserów 128, Warsaw 04-141, PolandTel +48-500-285-890Email ania.byszewska@gmail.comAbstract: Canaloplasty is a surgical procedure that has undergone a number of developments since its introduction in 2005. Many thousands of canaloplasties have been performed around the world since then and is, by definition, a blebless procedure. It does not necessitate the use of any antifibrotic agents and results in safe and effective IOP reductions in patients with open-angle glaucoma (OAG) with minimal complications and no bleb-related adverse events. When considering the surgical management of patients with early and medium stages of the disease, canaloplasty can be considered as a first line option. This paper will overview the theoretical effectiveness of canal surgery, the fundamental aspects of aqueous outflow resistance with particular emphasis on the role of the trabecular meshwork, Schlemm’s canal, and the collector channels, and the methods available for the clinical evaluation of the outflow pathways in relation to the ocular anatomy. Further, the paper will detail the surgical technique itself and how this has developed over time together with the clinical aspects that should be accounted for when selecting patients for this surgery.Keywords: glaucoma, aqueous outflow, canaloplasty, minicanaloplasty, canaloplasty ab interno, ABiC, schlemm’s canal, canaloplasty modification, canaloplasty patients selection, iTrack, canaloplasty qualificationByszewska AKonopińska JKicińska AKMariak ZRękas MDove Medical Pressarticleglaucomacanaloplastycanaloplasty qualificationOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 13, Pp 2617-2629 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	glaucoma canaloplasty canaloplasty qualification Ophthalmology RE1-994
spellingShingle	glaucoma canaloplasty canaloplasty qualification Ophthalmology RE1-994 Byszewska A Konopińska J Kicińska AK Mariak Z Rękas M Canaloplasty in the Treatment of Primary Open-Angle Glaucoma: Patient Selection and Perspectives
description	Anna Byszewska,1 Joanna Konopińska,2 Aleksandra Kinga Kicińska,1 Zofia Mariak,2 Marek Rękas1 1Department of Ophthalmology, Military Institute of Medicine, Warsaw 04-141, Poland; 2Department of Ophthalmology, Medical University of Białystok, Białystok 15-276, PolandCorrespondence: Anna ByszewskaDepartment of Ophthalmology, Military Institute of Medicine, Ul. Szaserów 128, Warsaw 04-141, PolandTel +48-500-285-890Email ania.byszewska@gmail.comAbstract: Canaloplasty is a surgical procedure that has undergone a number of developments since its introduction in 2005. Many thousands of canaloplasties have been performed around the world since then and is, by definition, a blebless procedure. It does not necessitate the use of any antifibrotic agents and results in safe and effective IOP reductions in patients with open-angle glaucoma (OAG) with minimal complications and no bleb-related adverse events. When considering the surgical management of patients with early and medium stages of the disease, canaloplasty can be considered as a first line option. This paper will overview the theoretical effectiveness of canal surgery, the fundamental aspects of aqueous outflow resistance with particular emphasis on the role of the trabecular meshwork, Schlemm’s canal, and the collector channels, and the methods available for the clinical evaluation of the outflow pathways in relation to the ocular anatomy. Further, the paper will detail the surgical technique itself and how this has developed over time together with the clinical aspects that should be accounted for when selecting patients for this surgery.Keywords: glaucoma, aqueous outflow, canaloplasty, minicanaloplasty, canaloplasty ab interno, ABiC, schlemm’s canal, canaloplasty modification, canaloplasty patients selection, iTrack, canaloplasty qualification
format	article
author	Byszewska A Konopińska J Kicińska AK Mariak Z Rękas M
author_facet	Byszewska A Konopińska J Kicińska AK Mariak Z Rękas M
author_sort	Byszewska A
title	Canaloplasty in the Treatment of Primary Open-Angle Glaucoma: Patient Selection and Perspectives
title_short	Canaloplasty in the Treatment of Primary Open-Angle Glaucoma: Patient Selection and Perspectives
title_full	Canaloplasty in the Treatment of Primary Open-Angle Glaucoma: Patient Selection and Perspectives
title_fullStr	Canaloplasty in the Treatment of Primary Open-Angle Glaucoma: Patient Selection and Perspectives
title_full_unstemmed	Canaloplasty in the Treatment of Primary Open-Angle Glaucoma: Patient Selection and Perspectives
title_sort	canaloplasty in the treatment of primary open-angle glaucoma: patient selection and perspectives
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/457425f2e0b14a4089fe6f1e58acc17e
work_keys_str_mv	AT byszewskaa canaloplastyinthetreatmentofprimaryopenangleglaucomapatientselectionandperspectives AT konopinskaj canaloplastyinthetreatmentofprimaryopenangleglaucomapatientselectionandperspectives AT kicinskaak canaloplastyinthetreatmentofprimaryopenangleglaucomapatientselectionandperspectives AT mariakz canaloplastyinthetreatmentofprimaryopenangleglaucomapatientselectionandperspectives AT rekasm canaloplastyinthetreatmentofprimaryopenangleglaucomapatientselectionandperspectives
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Canaloplasty in the Treatment of Primary Open-Angle Glaucoma: Patient Selection and Perspectives

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