Gonioscopy-Assisted Transluminal Trabeculotomy following Failed Glaucoma Surgery in Primary Congenital Glaucoma: One-Year Results
Purpose. To evaluate the one-year outcomes of gonioscopy-assisted transluminal trabeculotomy (GATT) in primary congenital glaucoma (PCG) with a history of prior glaucoma surgery. Methods. A retrospective chart review was performed to identify all PCG patients≤16 years who underwent GATT surgery at C...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-01-01
|
| Series: | Case Reports in Ophthalmological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2023/6761408 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849683841891958784 |
|---|---|
| author | Abdelrahman M. Elhusseiny Reem M. Aboulhassan Yasmine M. El Sayed Ghada I. Gawdat Hala M. Elhilali |
| author_facet | Abdelrahman M. Elhusseiny Reem M. Aboulhassan Yasmine M. El Sayed Ghada I. Gawdat Hala M. Elhilali |
| author_sort | Abdelrahman M. Elhusseiny |
| collection | DOAJ |
| description | Purpose. To evaluate the one-year outcomes of gonioscopy-assisted transluminal trabeculotomy (GATT) in primary congenital glaucoma (PCG) with a history of prior glaucoma surgery. Methods. A retrospective chart review was performed to identify all PCG patients≤16 years who underwent GATT surgery at Cairo University Children’s Hospital from January 2016 to March 2022. Pre- and postoperative intraocular pressure (IOP) and glaucoma medications were collected at 1, 3, 6, 9, 12, and last follow-up visits. Success was defined as IOP≤21 mmHg without (complete) or with (qualified) glaucoma medications at the last follow-up. Results. Seven eyes of 6 subjects were included in the study. The mean IOP was statistically significantly reduced from 25.7±5.9 mmHg preoperatively to a mean IOP of 12±1.5 mmHg (P=0.001) at 12 months and 11.5±1.2 mmHg (P=0.001) at the last follow-up visit. Six eyes (85.7%) achieved complete success, and one eye (14.2%) achieved qualified success. No patients required further glaucoma procedures. No serious intra- or postoperative complications were identified. Conclusions. Our early experience highlights that GATT can be performed as an alternative procedure before considering conjunctival or scleral glaucoma surgeries. |
| format | Article |
| id | doaj-art-d6afd3ef9d9d446ca51f4143e2a9b352 |
| institution | DOAJ |
| issn | 2090-6730 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Ophthalmological Medicine |
| spelling | doaj-art-d6afd3ef9d9d446ca51f4143e2a9b3522025-08-20T03:23:41ZengWileyCase Reports in Ophthalmological Medicine2090-67302023-01-01202310.1155/2023/6761408Gonioscopy-Assisted Transluminal Trabeculotomy following Failed Glaucoma Surgery in Primary Congenital Glaucoma: One-Year ResultsAbdelrahman M. Elhusseiny0Reem M. Aboulhassan1Yasmine M. El Sayed2Ghada I. Gawdat3Hala M. Elhilali4Department of OphthalmologyDepartment of OphthalmologyDepartment of OphthalmologyDepartment of OphthalmologyDepartment of OphthalmologyPurpose. To evaluate the one-year outcomes of gonioscopy-assisted transluminal trabeculotomy (GATT) in primary congenital glaucoma (PCG) with a history of prior glaucoma surgery. Methods. A retrospective chart review was performed to identify all PCG patients≤16 years who underwent GATT surgery at Cairo University Children’s Hospital from January 2016 to March 2022. Pre- and postoperative intraocular pressure (IOP) and glaucoma medications were collected at 1, 3, 6, 9, 12, and last follow-up visits. Success was defined as IOP≤21 mmHg without (complete) or with (qualified) glaucoma medications at the last follow-up. Results. Seven eyes of 6 subjects were included in the study. The mean IOP was statistically significantly reduced from 25.7±5.9 mmHg preoperatively to a mean IOP of 12±1.5 mmHg (P=0.001) at 12 months and 11.5±1.2 mmHg (P=0.001) at the last follow-up visit. Six eyes (85.7%) achieved complete success, and one eye (14.2%) achieved qualified success. No patients required further glaucoma procedures. No serious intra- or postoperative complications were identified. Conclusions. Our early experience highlights that GATT can be performed as an alternative procedure before considering conjunctival or scleral glaucoma surgeries.http://dx.doi.org/10.1155/2023/6761408 |
| spellingShingle | Abdelrahman M. Elhusseiny Reem M. Aboulhassan Yasmine M. El Sayed Ghada I. Gawdat Hala M. Elhilali Gonioscopy-Assisted Transluminal Trabeculotomy following Failed Glaucoma Surgery in Primary Congenital Glaucoma: One-Year Results Case Reports in Ophthalmological Medicine |
| title | Gonioscopy-Assisted Transluminal Trabeculotomy following Failed Glaucoma Surgery in Primary Congenital Glaucoma: One-Year Results |
| title_full | Gonioscopy-Assisted Transluminal Trabeculotomy following Failed Glaucoma Surgery in Primary Congenital Glaucoma: One-Year Results |
| title_fullStr | Gonioscopy-Assisted Transluminal Trabeculotomy following Failed Glaucoma Surgery in Primary Congenital Glaucoma: One-Year Results |
| title_full_unstemmed | Gonioscopy-Assisted Transluminal Trabeculotomy following Failed Glaucoma Surgery in Primary Congenital Glaucoma: One-Year Results |
| title_short | Gonioscopy-Assisted Transluminal Trabeculotomy following Failed Glaucoma Surgery in Primary Congenital Glaucoma: One-Year Results |
| title_sort | gonioscopy assisted transluminal trabeculotomy following failed glaucoma surgery in primary congenital glaucoma one year results |
| url | http://dx.doi.org/10.1155/2023/6761408 |
| work_keys_str_mv | AT abdelrahmanmelhusseiny gonioscopyassistedtransluminaltrabeculotomyfollowingfailedglaucomasurgeryinprimarycongenitalglaucomaoneyearresults AT reemmaboulhassan gonioscopyassistedtransluminaltrabeculotomyfollowingfailedglaucomasurgeryinprimarycongenitalglaucomaoneyearresults AT yasminemelsayed gonioscopyassistedtransluminaltrabeculotomyfollowingfailedglaucomasurgeryinprimarycongenitalglaucomaoneyearresults AT ghadaigawdat gonioscopyassistedtransluminaltrabeculotomyfollowingfailedglaucomasurgeryinprimarycongenitalglaucomaoneyearresults AT halamelhilali gonioscopyassistedtransluminaltrabeculotomyfollowingfailedglaucomasurgeryinprimarycongenitalglaucomaoneyearresults |