Combining canaloplasty with Hydrus microstent implantation during cataract surgery significantly improves the accuracy of stent positioning, which may lead to better outcomes for patients with open-angle glaucoma, according to a presentation at the 2025 ASCRS Annual Meeting.
The retrospective study analyzed 368 eyes treated with of which 236 received Hydrus implantation alone (n = 236) or both canaloplasty and Hydrus insertion (n = 132).
There was a significantly lower rate of mispositioned microstents in the combination group (3.8%) compared to the Hydrus-only group (8.9%), translating to a 57% relative risk reduction.
Researchers concluded that the addition of canaloplasty may promote more accurate stent placement within Schlemm’s canal, potentially leading to better surgical outcomes. Further studies are needed to assess long-term clinical benefits.
Reference
Yadgarov A, et al. Canaloplasty Improves Successful Positioning of Trabecular Microstent. Presented at: American Society of Cataract and Refractive Surgery Annual Meeting; April 25–28, 2025; Los Angeles, CA.
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