Gonioscopy-assisted transluminal trabeculotomy in primary angle-closure glaucoma

Sharkawi, Eamon; Artes, Paul H.; Lindegger, Daniel Josef; Dari, Maria Laura; Wardani, Mohamad El; Pasquier, Jérôme; Гуарниери, А.

doi:10.1007/s00417-021-05244-7

Cited by 18 publications

(18 citation statements)

References 31 publications

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“…In these cases, the fibrotic TM may have a higher resistance to rupture when viscoelastic is injected, making the Descemet-stroma interface the path of least resistance and placing these patients at higher risk of DMD. While there are many published reports on the safety and efficacy of GATT in different types of glaucomas, including steroid induced 9 and primary angle closure, 10 there are no reports specifically on the use of GATT in the setting of neovascularization.…”

Section: Discussionmentioning

confidence: 99%

Descemet Membrane Detachment Following Ab-interno Canaloplasty with 360-degree Gonioscopy-assisted Transluminal Trabeculotomy: A Case Report

McSoley¹,

Chang²,

Wellik³

2022

US Ophthalmic Review

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We describe two cases of Descemet membrane detachment (DMD) as a complication of gonioscopy-assisted transluminal trabeculotomy (GATT). The two patients had a history of retinal vein occlusions, subsequent intravitreal anti-vascular endothelial growth factor injections and uncontrolled intraocular pressures. They underwent ab-interno canaloplasty with 360-degree GATT without any intraoperative complications. In each case, DMD was noted on post-operative day 1. Both detachments were observed for several weeks before reattachment occurred. These cases illustrate that DMD is a potential sight-threatening complication of GATT, although the exact mechanisms involved remain uncertain. We hypothesize that the DMD may occur during the viscodilation of the Schlemm canal or due to the cleavage plane being anterior to the trabecular meshwork.

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Section: Discussionmentioning

confidence: 99%

Descemet Membrane Detachment Following Ab-interno Canaloplasty with 360-degree Gonioscopy-assisted Transluminal Trabeculotomy: A Case Report

McSoley¹,

Chang²,

Wellik³

2022

US Ophthalmic Review

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“…184 Grover et al described the GATT procedure. 185 GATT is an ab interno technique that bisects the trabecular meshwork circumferentially for 360 or 180 (hemi-GATT) using either a suture, (5 or 6/0 Prolene) [186][187][188][189] or the iTrack. 190 GATT has been used in PCG and juvenile glaucoma 191 and angle closure glaucoma.…”

Section: Ab Interno Canaloplasty and Viscodilationmentioning

confidence: 99%

“…190 GATT has been used in PCG and juvenile glaucoma 191 and angle closure glaucoma. 188 Kahook Dual Blade (KDB) (New World Medical) is an ab interno trabeculectomy device that uses a precise blade enabling controlled TM excision. Phaco-KDB performed similarly or better to phaco-iStent G1 in some nonrandomised studies.…”

Section: Ab Interno Canaloplasty and Viscodilationmentioning

confidence: 99%

The surgical management of glaucoma: A review

Lim

2022

Clinical Exper Ophthalmology

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After a long period of little change, glaucoma surgery has experienced a dramatic rise in the number of possible procedures in the last two decades. Glaucoma filtering surgeries with mitomycin C and glaucoma drainage devices remain the standard of surgical care. Other newer surgeries, some of which are minimally or microinvasive glaucoma surgeries, target existing trabecular outflow, enhance suprachoroidal outflow, create subconjunctival blebs, or reduce aqueous production. Some require the implantation of a device such as the iStent, Hydrus, Ex-PRESS, XEN and PRESERFLO, whilst others do not-Trabectome, Kahook dual blade, Ab interno canaloplasty, gonioscopy-assisted transluminal trabeculotomy, OMNI and excimer laser trabeculotomy. Others are a less destructive variation of an established procedure, such as micropulse transscleral cyclophotocoagulation, endoscopic cyclophotocoagulation and ultrasound cycloplasty. Cataract surgery alone can be a significant glaucoma operation. These older and newer glaucoma surgeries, their mechanism of action, efficacy and complications are the subject of this review.

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“…The most common complications included hyphema (present in 100% of eyes) and IOP spike (1 case), which resolved spontaneously or were controlled by topical medications. Sharkawi et al 101 prospectively observed 103 eyes from 88 patients with PACG (with a MD of −18.5 ± 7.6 dB for visual field) undergoing 5-0 polypropylene suture assisted GATT. During a 24-month follow-up, the mean IOP dropped from 21.4 ± 7.4 to 12.1 ± 2.4 mm Hg (P < 0.05), and the mean number of topical IOP-lowering medications decreased from 2.5 to 0.8 (P < 0.05).…”

Section: Efficacy and Safety Of Migs In Pacgmentioning

confidence: 99%

Minimally Invasive Glaucoma Surgery in Primary Angle-Closure Glaucoma

Song

Zhang

et al. 2022

Asia-Pacific Journal of Ophthalmology

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Primary angle-closure glaucoma (PACG) is responsible for half of the glaucoma-related blindness worldwide. Cataract surgery with or without trabeculectomy has been considered to be the first-line treatment in eyes with medically uncontrolled PACG. While minimally invasive glaucoma surgery has become an important surgical approach for primary open-angle glaucoma, its indications and benefits in PACG are less clear. This review summarizes the efficacy and safety profile of minimally invasive glaucoma surgery in PACG to unfold new insights into the surgical management of PACG.

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Gonioscopy-assisted transluminal trabeculotomy in primary angle-closure glaucoma

Cited by 18 publications

References 31 publications

Descemet Membrane Detachment Following Ab-interno Canaloplasty with 360-degree Gonioscopy-assisted Transluminal Trabeculotomy: A Case Report

Descemet Membrane Detachment Following Ab-interno Canaloplasty with 360-degree Gonioscopy-assisted Transluminal Trabeculotomy: A Case Report

The surgical management of glaucoma: A review

Minimally Invasive Glaucoma Surgery in Primary Angle-Closure Glaucoma

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