• Image field 20

  • DISCLAIMER | This does not substitute for an in-person consultation with an ophthalmologist nor should it be considered medical advice.

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  • Canaloplasty Online Assessment Form

  • 1. Have you been diagnosed with open or closed angle glaucoma?*
  • 2 Have you had Trabectome or Trabeculotomy?*
  • 2. Have you had Trabectome?*
  • 3. Have you had Trabeculectomy?*
  • 4. Have you had tube/shunt surgery (ie. Ahmed or Baerveldt implants)?*
  • 5. Have you had tube/shunt surgery (ie. Ahmed or Baerveldt implants)?*
  • 6. Check box of each procedure that you have had performed in the eye or eyes in question.*
  • 7. Check box of each procedure that you have had performed in the eye or eyes in question.*
  • Should be Empty: