Gonioscopy-assisted Transluminal Trabeculotomy (GATT) in Patients With Secondary Open-Angle Glaucoma Following Vitreoretinal Surgery.

Autor:	Quan AV; Bascom Palmer Eye Institute, Miami, FL., Yannuzzi NA; Bascom Palmer Eye Institute, Miami, FL., Chen J; Department of Ophthalmology, University of California, Davis, Sacramento., Wang YE; Bascom Palmer Eye Institute, Miami, FL.; Harvard Eye Associates, Laguna Hills, CA., Townsend JH; Bascom Palmer Eye Institute, Miami, FL., Chang TC; Bascom Palmer Eye Institute, Miami, FL.
Jazyk:	angličtina
Zdroj:	Journal of glaucoma [J Glaucoma] 2020 Apr; Vol. 29 (4), pp. e23-e25.
DOI:	10.1097/IJG.0000000000001461
Abstrakt:	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. 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. 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. 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.
Databáze:	MEDLINE
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