FAQs / Can Canaloplasty Be Performed After Argon Laser Trabeculoplasty (ALT)?

QUESTION:

I have read on the site Q & A that if one has had ALT then canaloplasty may be less effective. I’ve just had ALT performed on one eye. (I don’t know if it worked yet as it’s too soon). Is canaloplasty not to be considered later on unless it’s SLT instead of ALT? Also, I am assuming that one can have cataract surgery prior to canaloplasty – they don’t need to be done at the same time. (I may have cataract surgery on that same eye but not sure just when). Thanks

From CA, Riverside, United States

ANSWER:

Canaloplasty can be performed after ALT though it does make catheterization more challenging. Generally canal dilation can still be achieved but placement of the stent is not always possible after ALT. It really depends upon how aggressive the ALT was – is there scarring that could constrict the canal? We don’t often know the answer to that until surgery is attempted.

With regard to cataract surgery, canaloplasty can be performed prior to, at the same time as, or after cataract surgery. Unlike trabeculectomy, the success of canaloplasty is not decreased by cataract surgery.

Warm regards,
David Richardson, MD
Patient-Focused Ophthalmologist

San Marino Eye
2020 Huntington Drive
San Marino, CA 91108
626.289.7856

Patient-Focused Websites:
New-Glaucoma-Treatments.com
About-Eyes.com

Posted in: Canaloplasty, Canaloplasty and Other Surgeries