Effectiveness and Safety of Combined Ab-Interno Canaloplasty and Microstent Implantation in Severe Glaucoma – A Retrospective Study

Combining ab-interno canaloplasty with Hydrus Microstent implantation during cataract surgery resulted in modest but sustained reductions in intraocular pressure and glaucoma medication burden, with a favorable safety profile. However, postoperative IOP frequently remained above levels required for very low target pressures. These findings suggest that this mixed MIGS approach may be considered in carefully selected patients but should not be viewed as a substitute for traditional filtering surgery in advanced disease.