1. Gonioscopy-Assisted Transluminal Trabeculotomy for the Treatment of Glaucoma in Uveitic Eyes.
- Author
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Parikh DA, Mellen PL, Kang T, Shalaby WS, Moster MR, and Dunn JP
- Subjects
- Adult, Humans, Follow-Up Studies, Gonioscopy, Intraocular Pressure, Retrospective Studies, Treatment Outcome, Glaucoma surgery, Glaucoma, Open-Angle surgery, Ocular Hypotension, Trabeculectomy, Uveitis complications, Uveitis diagnosis, Uveitis surgery
- Abstract
Purpose: To evaluate the outcomes of gonioscopy-assisted transluminal trabeculotomy (GATT) in adult eyes with uncontrolled uveitic glaucoma., 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., 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., 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.
- Published
- 2023
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