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Gonioscopy-assisted Transluminal Trabeculotomy (GATT) in Patients With Secondary Open-Angle Glaucoma Following Vitreoretinal Surgery.
- Source :
-
Journal of glaucoma [J Glaucoma] 2020 Apr; Vol. 29 (4), pp. e23-e25. - Publication Year :
- 2020
-
Abstract
- Purpose: To examine the short-term efficacy and safety of gonioscopy-assisted transluminal trabeculotomy (GATT) in a series of patients who developed glaucoma following vitreoretinal surgery.<br />Patients and Methods: Retrospective case series of consecutive patients aged above 18 years with secondary open-angle glaucoma following vitreoretinal surgery who had undergone GATT between January 2015 and June 2019. Eyes were excluded if there is<1 month of follow-up or glaucoma before vitreoretinal surgery.<br />Results: Eight eyes of 8 patients were included, with age range 18 to 72 years (median 43.5 y). Mean pretreatment intraocular pressure (IOP) was 32.7±5.1 mm Hg with a mean of 4.8±0.9 medications. Following GATT, mean IOP improved to 13.6±1.8 mm Hg (P<0.001) with a reduction to 1.6±1.4 medications after a mean follow-up of 8.6 months (range 1 to 25 mo). Five of the 8 eye (62.5%) had silicone oil in the vitreous cavity during GATT, none of which had concurrent oil removal.<br />Conclusions: GATT is a safe and effective procedure for eyes with secondary open-angle glaucoma following vitreoretinal surgery. Further studies are needed to elucidate long-term benefits of angle surgery on eyes with high pressure following vitreoretinal surgery.
- Subjects :
- Adolescent
Adult
Aged
Eye
Female
Follow-Up Studies
Glaucoma, Open-Angle etiology
Glaucoma, Open-Angle physiopathology
Gonioscopy
Humans
Intraocular Pressure physiology
Male
Middle Aged
Plastic Surgery Procedures
Research Design
Retrospective Studies
Tonometry, Ocular
Treatment Outcome
Young Adult
Glaucoma, Open-Angle surgery
Trabeculectomy methods
Vitreoretinal Surgery adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 1536-481X
- Volume :
- 29
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Journal of glaucoma
- Publication Type :
- Academic Journal
- Accession number :
- 32053554
- Full Text :
- https://doi.org/10.1097/IJG.0000000000001461