Combined phacocanaloplasty for open-angle glaucoma and cataract: 12 months results

Figures & data

Figure 1 Clear corneal phacoemulsification (A) and Vicryl 6/0 traction suture (B).

Figure 2 Creation of superficial scleral flap.

Figure 3 Creation of deep scleral flap.

Figure 4 Advancing microcatheter through SC (A) followed by Prolene suture placement (B).

Abbreviation: SC, Schlemm’s canal.

Figure 5 Closure of superficial scleral flap (A) and conjunctiva (B).

Table 1 Patient demographics and baseline characteristics

	Combined phaco and canaloplasty n=20
Gender
Male	5 (25%)
Female	15 (75%)
Age (yrs)	57.6 (48–69)
Mean (range)
No antiglaucoma drugs	5 (25%)
One antiglaucoma drug	10 (50%)
Two antiglaucoma drugs	4 (20%)
Three antiglaucoma drugs	1 (5%)
Mean initial visual acuity	0.6950±0.07
Mean initial IOP, mmHg (± SD)	25.20±1.009

Abbreviations: IOP, intraocular pressure; SD, standard deviation.

Figure 6 IOP preoperatively and at 3, 6, and 12 months postoperatively.

Abbreviation: IOP, intraocular pressure.

Table 2 IOP at baseline, 3, 6, and 12 months posttreatment

	Combined phaco and canaloplasty n=20
Preoperative IOP, mmHg (mean ± SD)	25.20±1
3 months	14.20±0.9*
6 months	14.85±0.8*
12 months	15.85±0.7*

Notes:

* P=0.0005. There was no statistically significant reduction in IOP from 3, 6 to 12 months postoperatively (P=0.234).

Figure 7 One week after surgery: clear cornea and no bleb.

Figure 8 Three months after surgery: coapted sclera flap and no bleb.

Figure 9 Visual acuity at baseline, 3, 6, and 12 months post-treatment.

Table 3 Visual acuity at baseline, 3, 6, and 12 months post-treatment

	Combined phaco and canaloplasty n=20
Preoperative VA, LogMAR (mean ± SD)	0.6950±0.07
3 months	0.3670±0.056*
6 months	0.3460±0.056*
12 months	0.3370±0.052*

Notes:

* P=0.0005. There was no statistically significant difference in LogMAR between 3, 6, and 12 months postoperatively (P=0.435).