Harvey Ben J, Khaimi Mahmoud A
Department of Ophthalmology, Dean McGee Eye Institute, University of Oklahoma, USA.
Saudi J Ophthalmol. 2011 Oct;25(4):329-36. doi: 10.1016/j.sjopt.2011.08.003. Epub 2011 Aug 16.
Canaloplasty is a method of lowering intraocular pressure (IOP) by which a flexible, beacon-tipped microcatheter equipped with an ophthalmic viscosurgical device (OVD) delivery system is used to catheterize and introduce a suture into Schlemm's canal. Ligation of this suture provides tension on the canal and facilitates aqueous outflow. Canaloplasty is designed to be a blebless procedure that requires no antifibrotic agents and has been shown to safely and effectively lower IOP in patients with open-angle glaucoma (OAG) with minimal complications. Most importantly, no bleb-related adverse events are associated with this procedure. When contemplating surgical management of OAG, canaloplasty may be considered.
小梁切开术是一种降低眼压的方法，通过使用配备眼科粘弹剂（OVD）输送系统的柔性、带信标的微导管对施莱姆管进行插管并引入缝线。结扎该缝线可对管产生张力并促进房水流出。小梁切开术旨在成为一种无滤过泡的手术，无需使用抗纤维化药物，并且已被证明能安全有效地降低开角型青光眼（OAG）患者的眼压，并发症极少。最重要的是，该手术不会出现与滤过泡相关的不良事件。在考虑对OAG进行手术治疗时，可以考虑小梁切开术。
