Bimanual angle surgery: Gonioscopy-assisted canaloplasty and transluminal trabeculotomy using an illuminated microcatheter

This manuscript presents an innovative technique for performing an ab interno canaloplasty and transluminal trabeculotomy using the iTrackTM Advance (Nova Eye Medical), an advanced illuminated microcatheter specifically designed for ab interno canaloplasty. Unlike traditional methods, this procedure does not require forceps to advance the microcatheter; instead, it uses the slider system of the device for smooth, continuous movement of the catheter. The technique integrates viscodilation of Schlemm's canal and the possibility of creating a trabeculotomy with a hands-free goniolens, allowing the surgeon to use both hands when needed, improving surgical efficiency while manipulating the anterior chamber. This approach, which can be performed during cataract surgery or as a standalone procedure, offers a promising treatment for glaucoma patients.