Long-term outcomes of canaloplasty and phaco-canaloplasty in the treatment of open angle glaucoma: a single-surgeon experience.
Canaloplasty
Glaucoma medications
Intraocular pressure
Phaco-canaloplasty
Primary open angle glaucoma
Journal
International ophthalmology
ISSN: 1573-2630
Titre abrégé: Int Ophthalmol
Pays: Netherlands
ID NLM: 7904294
Informations de publication
Date de publication:
07 Jul 2024
07 Jul 2024
Historique:
received:
14
01
2024
accepted:
15
06
2024
medline:
7
7
2024
pubmed:
7
7
2024
entrez:
7
7
2024
Statut:
epublish
Résumé
To evaluate and compare the long-term outcomes of canaloplasty and phaco-canaloplasty in the treatment of open angle glaucoma and assess the prognostic factors associated with surgical outcome. A 48-month retrospective analysis was performed on n = 133 open angle glaucoma eyes treated with canaloplasty and n = 57 open angle glaucoma eyes treated with phaco-canaloplasty by a single surgeon. Surgical success was defined according to six criteria, achieving a target intraocular pressure (IOP) ≤ 21, 18 or 15 mmHg on glaucoma medications (qualified success) or without any further treatment (complete success), including laser therapy or surgery. Kaplan-Meier survival analysis and Cox regression analysis were performed to evaluate surgical success and preoperative factors associated with surgical outcome. Surgical complications in the early postoperative period were compared between canaloplasty and phaco-canaloplasty. Canaloplasty and phaco-canaloplasty significantly reduced postoperative IOP and number of glaucoma medications (p = 0.001 for both). Phaco-canaloplasty showed higher rates of cumulative surgical success over canaloplasty, but only for target IOP ≤ 21 and ≤ 18 (p = 0.018 and p = 0.011, respectively). A preoperative number of > 4 glaucoma medications predicted surgical failure. Phaco-canaloplasty was associated with a higher rate of IOP peaks in the first month compared with canaloplasty (40.4% vs 12.7%, p = 0.000). Canaloplasty and phaco-canaloplasty demonstrated long-term efficacy in the treatment of open angle glaucoma, with phaco-canaloplasty showing higher rates of surgical success compared to canaloplasty, but not for target IOPs lower than 16 mmHg. Patients on more than 4 preoperative glaucoma medications may not be good candidates for canaloplasty and may benefit from other surgical options.
Identifiants
pubmed: 38972018
doi: 10.1007/s10792-024-03174-x
pii: 10.1007/s10792-024-03174-x
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
317Informations de copyright
© 2024. The Author(s).
Références
Steinmetz JD, Bourne RRA, Briant PS et al (2021) Causes of blindness and vision impairment in 2020 and trends over 30 years, and prevalence of avoidable blindness in relation to VISION 2020: the right to sight: an analysis for the global burden of disease study. Lancet Glob Health 9(2):e144–e160
doi: 10.1016/S2214-109X(20)30489-7
Anderson DR (2003) Normal Tension Glaucoma Study Collaborative normal tension glaucoma study. Curr Opin Ophthalmol. 14(2):86–90
doi: 10.1097/00055735-200304000-00006
pubmed: 12698048
Garway-Heath DF, Lascaratos G, Bunce C et al (2013) The United Kingdom glaucoma treatment study. Ophthalmology 120(1):68–76
doi: 10.1016/j.ophtha.2012.07.028
pubmed: 22986112
Kass MA, Heuer DK, Higginbotham EJ et al (2002) The ocular hypertension treatment study: a randomized trial determines that topical ocular hypotensive medication delays or prevents the onset of primary open-angle glaucoma. Arch Ophthalmol 120:701–713
doi: 10.1001/archopht.120.6.701
pubmed: 12049574
Leske MC, Heijl A, Hyman L et al (2007) Predictors of long-term progression in the early manifest glaucoma trial. Ophthalmology 114(11):1965–1972
doi: 10.1016/j.ophtha.2007.03.016
pubmed: 17628686
Musch DC, Gillespie BW, Lichter PR et al (2009) Visual field progression in the collaborative initial glaucoma treatment study. Ophthalmology 116(2):200–207
doi: 10.1016/j.ophtha.2008.08.051
pubmed: 19019444
European Glaucoma Society Terminology and Guidelines for Glaucoma (2021) 5th Edition. Br J Ophthalmol 105(1):1–169
Goel M, Picciani R, Lee R, Bhattacharya S (2010) Aqueous humor dynamics: a review. Open Ophthalmol J 4(1):52–59
doi: 10.2174/1874364101004010052
pubmed: 21293732
pmcid: 3032230
Riva I, Brusini P, Oddone F et al (2019) Canaloplasty in the treatment of open-angle glaucoma: a review of patient selection and outcomes. Adv Ther 36(1):31–43
doi: 10.1007/s12325-018-0842-6
pubmed: 30488337
Xin C, Tian N, Li M et al (2018) Mechanism of the reconstruction of aqueous outflow drainage. Sci China Life Sci 61(5):534–540
doi: 10.1007/s11427-017-9140-8
pubmed: 29282607
Zhang J, Wang NL (2019) Progression on canaloplasty for primary open angle glaucoma. Int J Ophthalmol 12(10):1629–1633
doi: 10.18240/ijo.2019.10.16
pubmed: 31637200
pmcid: 6796084
Hann CR, Vercnocke AJ, Bentley MD et al (2014) Anatomic changes in Schlemm’s Canal and collector channels in normal and primary open-angle glaucoma eyes using low and high perfusion pressures. Invest Opthalmol Vis Sci 55(9):5834
doi: 10.1167/iovs.14-14128
Yan X, Li M, Chen Z et al (2016) Schlemm’s Canal and trabecular meshwork in eyes with primary open angle glaucoma: a comparative study using high-frequency ultrasound biomicroscopy. PLoS One. 11(1):e0145824
doi: 10.1371/journal.pone.0145824
pubmed: 26726880
pmcid: 4699705
Ayyala RS, Chaudhry AL, Okogbaa CB, Zurakowski D (2011) Comparison of surgical outcomes between Canaloplasty and Trabeculectomy at 12 months’ follow-up. Ophthalmology 118(12):2427–2433
doi: 10.1016/j.ophtha.2011.05.021
pubmed: 21856008
Garris W, Le C, Zurakowski D, Ayyala R (2018) Comparison of surgical outcomes between canaloplasty and trabeculectomy with mitomycin C at 2-year follow-up: a longitudinal cohort study. Indian J Ophthalmol 66(1):66
doi: 10.4103/ijo.IJO_543_17
pubmed: 29283126
pmcid: 5778585
Schoenberg ED, Chaudhry AL, Chod R et al (2015) Comparison of surgical outcomes between phacocanaloplasty and phacotrabeculectomy at 12 months’ follow-up. J Glaucoma 24(7):543–549
doi: 10.1097/IJG.0000000000000023
pubmed: 24240873
Matlach J, Dhillon C, Hain J et al (2015) Trabeculectomy Versus Canaloplasty (TVC study) in the treatment of patients with open-angle Glaucoma: a prospective randomized clinical trial. Acta Ophthalmol 93(8):753–761
doi: 10.1111/aos.12722
pubmed: 25847610
pmcid: 6680218
Bull H, von Wolff K, Körber N, Tetz M (2011) Three-year canaloplasty outcomes for the treatment of open-angle glaucoma: European study results. Graefe’s Arch Clin Experim Ophthalmol 249(10):1537–1545
doi: 10.1007/s00417-011-1728-3
Lewis RA, von Wolff K, Tetz M et al (2011) Canaloplasty: three-year results of circumferential viscodilation and tensioning of Schlemm Canal using a microcatheter to treat open-angle glaucoma. J Cataract Refract Surg 37(4):682–690
doi: 10.1016/j.jcrs.2010.10.055
pubmed: 21420593
Tetz M, Koerber N, Shingleton BJ et al (2015) Phacoemulsification and intraocular lens implantation before, during, or after canaloplasty in eyes with open-angle glaucoma. J Glaucoma 24(3):187–194
doi: 10.1097/IJG.0b013e318285ff13
pubmed: 23429620
Khaimi MA, Dvorak JD, Ding K (2017) An analysis of 3-year outcomes following Canaloplasty for the treatment of open-angle glaucoma. J Ophthalmol 2017:1–7
doi: 10.1155/2017/2904272
Pohjalainen T, Vesti E, Uusitalo RJ, Laatikainen L (2001) Intraocular pressure after phacoemulsification and intraocular lens implantation in nonglaucomatous eyes with and without exfoliation. J Cataract Refract Surg 27(3):426–431
doi: 10.1016/S0886-3350(00)00691-X
pubmed: 11255056
Shingleton BJ, Laul A, Nagao K et al (2008) Effect of phacoemulsification on intraocular pressure in eyes with pseudoexfoliation. J Cataract Refract Surg 34(11):1834–1841
doi: 10.1016/j.jcrs.2008.07.025
pubmed: 19006727
Brusini P, Papa V, Zeppieri M (2022) Canaloplasty in pseudoexfoliation glaucoma: can it still be considered a good choice? J Clin Med 11(9):2532
doi: 10.3390/jcm11092532
pubmed: 35566656
pmcid: 9105440
Brusini P (2014) Canaloplasty in open-angle glaucoma surgery: a four-year follow-up. Sci World J 2014:1–7
doi: 10.1155/2014/469609
Grieshaber MC, Pienaar A, Olivier J, Stegmann R (2010) Canaloplasty for primary open-angle glaucoma: long-term outcome. Br J Ophthalmol 94(11):1478–1482
doi: 10.1136/bjo.2009.163170
pubmed: 20962352
Hsu CH, Kakigi CL, Lin SC et al (2015) Lens position parameters as predictors of intraocular pressure reduction after cataract surgery in non-glaucomatous patients with open angles. Investigat Opthalmol Vis Sci 56(13):7807
doi: 10.1167/iovs.15-17926
Melancia D, Pinto LA, Marques-Neves C (2015) Cataract surgery and intraocular pressure. Ophthalmic Res 53(3):141–148
doi: 10.1159/000377635
pubmed: 25765255
Konopińska J, Mariak Z, Rękas M (2020) Improvement of the safety profile of canaloplasty and phacocanaloplasty: a review of complications and their management. J Ophthalmol 2020:1–6
Seuthe AM, Szurman P, Januschowski K (2021) Canaloplasty with suprachoroidal drainage in patients with Pseudoexfoliation Glaucoma–four years results. Curr Eye Res 46(2):217–223
doi: 10.1080/02713683.2020.1795203
pubmed: 32715800
Kodomskoi L, Kotliar K, Schröder AC et al (2019) Suture-probe canaloplasty as an alternative to canaloplasty using the iTrack Microcatheter. J Glaucoma 28(9):811–817
doi: 10.1097/IJG.0000000000001321
pubmed: 31283701
Vastardis I, Kontopoulou K, Fili S et al (2020) Comparison of performance between two microcatheter systems in ab externo canaloplasty: A retrospective comparison study. Eur J Ophthalmol 30(3):487–493
doi: 10.1177/1120672119833547
pubmed: 30832510
Szurman P, Januschowski K, Boden KT, Szurman GB (2016) A modified scleral dissection technique with suprachoroidal drainage for canaloplasty. Graefe’s Arch Clin Exper Ophthalmol 254(2):351–354
doi: 10.1007/s00417-015-3234-5
Rękas M, Konopińska J, Byszewska A, Mariak Z (2020) Mini-canaloplasty as a modified technique for the surgical treatment of open-angle glaucoma. Sci Rep 10(1):12801
doi: 10.1038/s41598-020-69261-y
pubmed: 32733032
pmcid: 7393495
Gallardo MJ, Supnet RA, Ahmed IIK (2018) Viscodilation of Schlemm’s canal for the reduction of IOP via an ab-interno approach. Clin Ophthalmol 12:2149–2155
doi: 10.2147/OPTH.S177597
pubmed: 30425450
pmcid: 6205145
Beres H, Scarioth GB (2022) Canaloplasty in the spotlight: surgical alternatives and future perspectives. Rom J Ophthalmol 66(3):225–232
pubmed: 36349177
pmcid: 9585494
Kicińska AK, Danielewska ME, Rękas M (2022) Safety and efficacy of three variants of canaloplasty with phacoemulsification to treat open-angle glaucoma and cataract: 12-Month Follow-Up. J Clin Med 11(21):6501
doi: 10.3390/jcm11216501
pubmed: 36362728
pmcid: 9655938