FAQs / Can Canaloplasty NOT Be Done after a Trab W/ EX-Press or Trab Alone?

ANSWER:

Dear ******,

This is not a question that can be answered with a simple “yes” or “no”. It depends upon whether the canal was cut through during creation of the trabeculectomy site. In general it is much easier to perform Canaloplasty after an Ex-PRESS mini shunt is used as the shunt is inserted anterior (in front of) the canal. So long as the canal is intact it should be possible to fully catheterize and stent it open during Canaloplasty. That being said, it is still possible (though exceedingly challenging) to perform Canaloplasty after a trabeculectomy that has cut out a portion of the canal. More information can be found here:

• http://www.ncbi.nlm.nih.gov/pubmed/23221902
• https://ascrs.confex.com/ascrs/15am/webprogram/Paper11038.html

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

Date: Fri, May 15, 2015 at 12:39 PM

Posted in: Canaloplasty, Canaloplasty and Other Surgeries, Trabeculectomy