And now what I’m doing is I’m just going to place a little viscoelastic on, now, that deep flap, and see if I can also get that locked into place using the bridle suture. Now that’s going to keep from desiccating. Now I’ll just take the viscoelastic, and I’m just going to dilate the ostia of Schlemm’s canal here. And what that’s going to do is it’s just going to allow me to more easily cannulate with the iScience catheter. There are those who advocate that you actually place the tip of the viscoelastic cannula into Schlemm’s canal.
So on the right here, you have the standard Fechtner conjunctival forceps. And they have a large ring, which is used to atraumatically grasp conjunctiva. But what you see on the left is a Mastel prototype of an instrument which I think is just absolutely wonderful for canaloplasty, and you’ll see why in the next couple of minutes of this video.
This is a modification of the Fechtner forceps. And what’s been done is you now have two loops, side by side, and you’ll see just how wonderfully this can be used in canaloplasty for control.
So I really prefer to use this combination of the Mastel modification and the regular Fechtner’s for inserting the cannula. You’ll see here, the catheter with the tip. And what’s nice about this is that these side?by?side loops allow you to grasp the cannula in a way that just gives you full control.
