Comparison of clinical outcomes between gonioscopy-assisted transluminal trabeculotomy and trabeculectomy in advanced-stage pseudoexfoliation glaucoma

Gunay, Murat; Kurt, Ibrahim Mert; Turk, Adem; Erdol, Hidayet; Akyol, Nurettin; Imamoglu, Halil Ibrahim; Uzlu, Dilek

doi:10.1007/s00417-023-06246-3

Graefes Arch Clin Exp Ophthalmol

2023

DOI: 10.1007/s00417-023-06246-3

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Comparison of clinical outcomes between gonioscopy-assisted transluminal trabeculotomy and trabeculectomy in advanced-stage pseudoexfoliation glaucoma

Murat Gunay,

Ibrahim Mert Kurt,

Adem Turk

et al.

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2024

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Cited by 2 publications

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Real-world outcomes and predictors of failure of gonioscopy-assisted transluminal trabeculotomy in a large glaucoma cohort: a multicenter study

Pereira I,

Gomide Vilela de S. Franco,

Alves Pereira

et al. 2024

Sci Rep

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Real-world outcomes and predictors of failure of gonioscopy-assisted transluminal trabeculotomy in a large glaucoma cohort: a multicenter study

Pereira I,

Gomide Vilela de S. Franco,

Alves Pereira

et al. 2024

Sci Rep

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Outcomes of gonioscopy-assisted transluminal trabeculotomy in advanced pigmentary glaucoma

Panigrahi,

Kumar,

Gupta

et al. 2024

Br J Ophthalmol

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PurposeTo compare outcomes of gonioscopy-assisted transluminal trabeculotomy (GATT) over a 12-month period with trabeculectomy in patients with advanced pigmentary glaucoma (PG).MethodsThis was a pilot randomised controlled trial of patients with advanced PG (mean deviation worse than −12 dB), undergoing either GATT or a fornix-based trabeculectomy. Absolute success (criterion A) was defined as a postoperative intraocular pressure (IOP) between 6 and 18 mm Hg, with a drop of at least 30% from the treated preoperative value without need of any IOP-lowering medication. Success (criterion B) was also defined as per the target IOP, with an upper limit of 15 mm Hg for eyes with mean deviation (MD) between −12 and −24 dB, and 12 mm Hg or lower for MD values worse than −24 dB. Qualified success was a similar IOP standard on the same or fewer antiglaucoma medications.ResultsFor GATT (n=10), mean preoperative IOP and number of glaucoma medications were 28.2±11.2 mm Hg and 4±0.8 that reduced to 11.8±2.5 mm Hg and 0.7 at 12 months postoperatively, while in the trabeculectomy (n=12) group, they were 27.3±5.5 mm Hg and 3.6±0.7 that reduced to 11.5±2.2 mm Hg and 0.5±0.9, respectively. All eyes (100%) achieved qualified success. Absolute success was 60% and 67.7% by criterion A and 50% and 58.3% by criterion B for GATT and trabeculectomy, respectively. Two eyes in the trabeculectomy group developed hypotony while none of the GATT group had any sight-threatening complications (p=0.4).ConclusionsGATT alone demonstrated a significant reduction in IOP and number of glaucoma medications in patients with advanced PG.

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Comparison of clinical outcomes between gonioscopy-assisted transluminal trabeculotomy and trabeculectomy in advanced-stage pseudoexfoliation glaucoma

Cited by 2 publications

References 31 publications

Real-world outcomes and predictors of failure of gonioscopy-assisted transluminal trabeculotomy in a large glaucoma cohort: a multicenter study

Real-world outcomes and predictors of failure of gonioscopy-assisted transluminal trabeculotomy in a large glaucoma cohort: a multicenter study

Outcomes of gonioscopy-assisted transluminal trabeculotomy in advanced pigmentary glaucoma

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