iTrack™ Canaloplasty
Advanced Minimally Invasive Glaucoma Surgery by Mr Agrawal
Expert Glaucoma Care
Mr Agrawal is an experienced glaucoma surgeon who performs iTrack™ canaloplasty as part of a comprehensive range of modern glaucoma treatments. The procedure is designed to lower eye pressure by restoring the eye's natural drainage system, helping to slow the progression of glaucoma while preserving future treatment options.
Unlike traditional glaucoma surgery, iTrack canaloplasty enhances the eye's existing drainage pathway without leaving a permanent implant or creating an artificial drainage bleb.
For many patients with open-angle glaucoma, it offers an effective, minimally invasive treatment either as a standalone procedure or in combination with cataract surgery.
What is iTrack Canaloplasty?
Glaucoma is most commonly caused by increased pressure inside the eye, which can gradually damage the optic nerve and lead to permanent loss of vision if left untreated.
iTrack canaloplasty uses a highly specialised microcatheter to treat the entire 360° circumference of the eye's natural drainage canal (Schlemm's canal). As the catheter is gently withdrawn, a medical gel is delivered to dilate and restore the drainage channels, allowing fluid to leave the eye more efficiently.
By improving the eye's own drainage system, intraocular pressure can often be reduced without altering the natural anatomy of the eye.
Who May Benefit?
Following a comprehensive glaucoma assessment, Mr Agrawal may recommend iTrack canaloplasty for patients with:
Mild to moderate primary open-angle glaucoma
Ocular hypertension
Progressive glaucoma despite medical treatment
Intolerance to glaucoma eye drops
Co-existing cataract and glaucoma, where both conditions can often be treated during the same operation
Every patient is different. Mr Agrawal believes treatment should always be tailored to the individual, taking into account your glaucoma severity, lifestyle, visual needs and long-term treatment goals.
Why Choose iTrack Canaloplasty?
Potential advantages include:
Effective lowering of intraocular pressure in appropriately selected patients
Implant-free procedure
Preservation of the eye's natural drainage anatomy
Treatment of the entire 360° drainage canal
Can reduce the need for glaucoma medications in some patients
Suitable as a standalone procedure or combined with cataract surgery
Rapid recovery compared with more invasive glaucoma surgery
Preserves future surgical options should they ever become necessary
As with all glaucoma procedures, results vary between patients and ongoing monitoring remains essential.
Your Procedure
Mr Agrawal performs iTrack canaloplasty as a day-case operation, usually under local anaesthetic.
Using advanced microsurgical techniques, a fine flexible microcatheter is passed around the full circumference of Schlemm's canal. As the catheter is withdrawn, viscoelastic is delivered to gently expand and rejuvenate the drainage system before the catheter is removed.
The operation typically takes around 20 minutes.
Many patients undergo iTrack canaloplasty at the same time as cataract surgery, allowing both conditions to be treated during a single procedure.
Recovery
Most patients return home on the day of surgery.
Vision is often blurred for the first few days while the eye heals. Mild redness, irritation and light sensitivity are common and usually settle quickly.
Mr Agrawal will review you after surgery to monitor healing, measure your eye pressure and adjust your glaucoma medications if appropriate.
Although many patients can reduce their glaucoma drops following surgery, some continue to require medication to achieve their target eye pressure.
Risks
Every surgical procedure carries potential risks.
Although complications are uncommon, they may include:
Temporary bleeding inside the eye (hyphaema)
Temporary fluctuations in eye pressure
Inflammation
Infection
Need for ongoing glaucoma medication
Need for additional glaucoma surgery if target pressure is not achieved
These risks will be discussed fully during your consultation so that you can make an informed decision about your treatment.
Frequently Asked Questions
Will this cure my glaucoma?
No. There is currently no cure for glaucoma. The aim of treatment is to lower eye pressure and slow or prevent further damage to the optic nerve.
Will I still need eye drops?
Many patients require fewer glaucoma medications after surgery, although some continue using drops to achieve the safest long-term pressure control.
Is there an implant left in my eye?
No. The iTrack microcatheter is removed at the end of the procedure, leaving no permanent implant.
Can I have iTrack canaloplasty with cataract surgery?
Yes. For suitable patients, Mr Agrawal frequently combines iTrack canaloplasty with cataract surgery during the same operation.
Arrange a Consultation
If you have glaucoma, ocular hypertension, or have been told your eye pressure remains above target despite treatment, Mr Agrawal can advise whether iTrack canaloplasty is an appropriate option for you.