Canaloplasty Surgery

[Jon1988]

Has anyone had or discussed this type of surgery? It sounds very promising with high success rate and limited complications from what I’ve read from the literature.

[Longwalks3]

I had canaloplasty in my right eye combined with a cataract operation last November. It was all done under local anaesthetic and the recovery was good. It also reduced the pressure in my right eye to about 10 which was a brilliant result for me . I had become unable to tolerate any glaucoma eye drops after years of use so for me the procedure was an all round success.

[Jon1988 in reply to Longwalks3]

That’s great news, I’m glad it worked for you, and from what I read it can be repeated? I’m going to enquire about it on my next visit, I have pigmentary glaucoma which is proving a bit of a challenge to get under control, but I think it might be a good option down the line for me, as I believe it clears the pigmentation from my drainage meshwork as well.

[Floaters in reply to Longwalks3]

I am puzzled why this procedure is not done more often. Longwalk’s IOP decreased from 26 to 10 which is a miracle. What am I missing? Perhaps the moderators can shed some light.

I thought my only option was a trab. I will discuss this with my opthomologist in 5 weeks. Jon - please let me know how your discussion goes and I will do the same.

[Longwalks3]

The only thing I will say is that my consultant was surprised at how well this procedure worked for me. I think your surgeon is likely to want to do a trabeculectomy if you have not already had this procedure as it is a proven treatment and successful for most people.

[Floaters in reply to Longwalks3]

Ah, you are saying that your great result was not typical. I read that a trab can be done after this procedure if the IOP is not lowered enough. My thought is since the ABiC is such a low risk procedure, it is worth a try. I will push for it when I meet my surgeon. I have extreme dry eye syndrome from my years of drops and that greatly complicates a trab so I’ve been told.

[Longwalks3]

I too have very dry eyes after many years of drops and i believe this was part of the reason my trab was a failure. I am drop free and my pressures are stable now but it has taken 5 years and abouf 10 surgical procdures to get to this point.