Posters

Canaloplasty ab externo: retrospective 1 year follow-up results

Poster Details

First Author: T.Mickevicius LITHUANIA

Co Author(s): G. Bruzgyte   V. Jasinskas                 

Abstract Details

Purpose:

To assess efficacy and safety of canaloplasty (CP) alone or in combination with phacoemulsification (CPP) in reduction of intraocular pressure (IOP) and glaucoma medication usage (Meds) in patients with open angle glaucoma (OAG) and cataract.

Setting:

This study was conducted in Hospital of Lithuanian University of Health Sciences Department of Ophthalmology, Kaunas, Lithuania.

Methods:

Retrospective study comprised of 83 patients with OAG and cataract: thirty-six patients, who underwent CP, and 47 patients, who had CPP from 2009 to 2016. IOP, Meds, uncorrected distance visual acuity (UCVA) and best corrected visual acuity (BCVA), rate of postoperative complications were evaluated at the baseline and 1, 3, 6 and 12 months after CP or CPP. The statistical analysis was conducted using IBM SPSS v. 25.0 software.

Results:

The mean±SD IOP of CP group was 26.66±8.12mmHg at the baseline and 18.99±7.98mmHg(P=0.006) at 12 months postoperatively, while in CPP group it was 27.29±10.72mmHg and 14.95±3.99mmHg(P=<0.001), respectively. The mean±SD Meds of CP group was 2.50±0.85 at the baseline and 0.94±0.77(P=0.001) at 12 months postoperatively, while in CPP group it was 2.22±0.81 and 1.04±0.99(P=0.001), respectively. We found no statistically significant difference at any follow-up stage, when comparing the mean±SD of IOP and Meds between these two groups. The most common postoperative complication after CP and CPP was hyphema(38.89%vs.25.53%, respectively).

Conclusions:

Canaloplasty is an effective and safe procedure in terms of IOP lowering effect in patients with OAG and cataract. In the study CP combined with phacoemulsification demonstrated superior success rate compared to canaloplasty alone.

Financial Disclosure:

None