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Gonioscopy-Assisted Transluminal Trabeculotomy for the Treatment of Glaucoma in Uveitic Eyes.

Authors :
Parikh DA
Mellen PL
Kang T
Shalaby WS
Moster MR
Dunn JP
Source :
Ocular immunology and inflammation [Ocul Immunol Inflamm] 2023 Oct; Vol. 31 (8), pp. 1608-1614. Date of Electronic Publication: 2022 Jun 13.
Publication Year :
2023

Abstract

Purpose: To evaluate the outcomes of gonioscopy-assisted transluminal trabeculotomy (GATT) in adult eyes with uncontrolled uveitic glaucoma.<br />Methods: We reviewed 16 eyes from 13 patients. Surgical success was defined as intraocular pressure (IOP) reduction >20% from baseline or IOP between 5 and 21 mmHg by the 3-month visit while on a stable number or fewer IOP-lowering agents and no need for additional glaucoma surgery.<br />Results: At 12 months, the cumulative success rate was 81%. Mean IOP was 37.8 ± 13.0 mmHg at baseline and 12.2 ± 3.0 mmHg at 12 months (68% reduction; p < .0001 ). The average number of glaucoma medications was 4.6 ± 1.3 at baseline and 2.2 ± 0.7 at 12 months (52% reduction; p < .0001 ). Transient hyphema was seen in 44% of eyes at 1 week.<br />Conclusions: This small retrospective study suggests that GATT is effective and safe as an initial surgical treatment for medically refractory glaucoma in uveitic adult eyes.

Details

Language :
English
ISSN :
1744-5078
Volume :
31
Issue :
8
Database :
MEDLINE
Journal :
Ocular immunology and inflammation
Publication Type :
Academic Journal
Accession number :
35695409
Full Text :
https://doi.org/10.1080/09273948.2022.2087093