Canaloplasty with the Streamline System - Dr. Malik Y Kahook скачать в хорошем качестве

Canaloplasty with the Streamline System - Dr. Malik Y Kahook

The STREAMLINE Surgical System, developed by New World Medical (Rancho Cucamonga, CA) is an FDA-cleared, single-use device designed for precise intraocular viscoelastic delivery. STREAMLINE features a polymer handset with a surgical-grade stainless-steel cannula, allowing access to the trabecular meshwork via a clear corneal incision. When the actuator button is pressed, it retracts an outer polymer sleeve, enabling the inner cannula to enter Schlemm's canal and deliver approximately 7 μL of ophthalmic viscoelastic fluid per activation, with a maximum of 8 total deliveries. The STREAMLINE Surgical System can be used independently or in conjunction with cataract surgery, creating targeted openings in the trabecular meshwork while simultaneously viscodilating Schlemm's canal. The surgeon also has the option to create titrated incisional goniotomies over several clock hours, tailored to each patient’s needs. Clinical studies have demonstrated that this approach effectively lowers intraocular pressure (IOP) and reduces the need for IOP-lowering medications in patients with mild to severe primary open-angle glaucoma, showing both clinical and statistical significance whether used as a standalone treatment or alongside phacoemulsification cataract extraction.