Outcomes of 360° suture trabeculotomy after unsuccessful canaloplasty
Graefe's Archive for Clinical and Experimental Ophthalmology Dec 17, 2019
Baumgarten S, Kürten D, Lohmann T, et al. - Given that canaloplasty is a well-established non-penetrating glaucoma surgery, researchers conducted this retrospective study to analyze outcomes of 360° suture trabeculotomy following unsuccessful canaloplasty. Participants in the study were 19 patients (20 eyes), mean age 59.7 ± 17.2 years, with primary open-angle glaucoma (POWG n = 14), pseudoexfoliation glaucoma (n = 3), juvenile glaucoma (n = 2) and aphakic glaucoma (n = 1), who had micro-invasive 360° trabeculotomy following unsuccessful (intraocular pressure (IOP) > 21 mmHg under maximum glaucoma eye drop therapy (Meds)) canaloplasty. According to results, IOPs and Meds were significantly decreased from before to 1 week after 360° trabeculotomy. Overall, the authors concluded that in order to enhance failed canaloplasty, 360° trabeculotomy is a safe, micro-invasive, simple and successful method.
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