Is Canaloplasty Worthwhile?
February 28, 2009
Have you seen the videos for this procedure? I think I’m a decent surgeon, and I don’t like trabeculectomy any more than the next guy, but that looks hard and tedious. Sounds to me this procedure is strictly for the glaucoma guys. And I still think that since I only take the sickest eyes to surgery (as I can control the vast majority with drops, laser and straight phaco), I don’t think this procedure will reliably get my patients down to 12 like a trabeculectomy. So it looks like we are still stuck with trabs. I heard of a promising procedure that creates a nice bypass to the suprachoroidal space using a very small shunt device that is implanted into the angle after you finish the phaco. No bleb! No touching of conjunctiva! Nice!
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