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Canaloplasty ab-interno Visco 360: a new technique in combined and stand alone surgery

Poster Details

First Author: N.Koerber GERMANY

Co Author(s):    S. Ondrejka                    

Abstract Details

Purpose:

To demonstrate the surgical technique and the first european results of canaloplasty ab interno with the Visco360 �â�€�“ device in patients with open angle glaucoma.

Setting:

All surgeries were performed at an outpatient surgical setting.

Methods:

After the phacoemulsification or in stand- alone procedures as first step ,the trabecular meshwork is opened by 0,5 mm and subsequently the integrated catheter ( diameter 200�Â�µ) is manipulated forward for 2 x 20 mm and during the retraction a defined amount of OVD ( eg Healon GV) is injected into Schlemm`s canal. Thus, the trabecular meshwork, Schlemm`s canal and the distal collector channels are dilated. The access is performed through either a temporal cataract incision or by a temporal 1,8 mm incision.

Results:

The first results are very encouraging. Three eyes were pseudophacic, five eyes were phacic and 21 eyes were treated with combined surgery. The IOP (mmHg) was reduced from pre-Op 19,95 +7,19 (N=29) to 15,66+3,5 after 3 months (N=28) ,and 13,23+2,5 after 6 months (N=7) . The pre-Op IOP was measured without a washout-phase. The medication pre-op was 2,0 in mean and post-Op 25 of 28 eyes were without medication after 3 months. After 6 months all 7 eyes were without medication. No adverse reactions or complications were observed.

Conclusions:

Canaloplasty ab interno with Visco360 �â�€�“ device is an effective method to treat open angle glaucoma in combined or stand- alone surgery.

Financial Disclosure:

NONE

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