One-year results of gonioscopy-assisted transluminal trabeculotomy: Evaluation of prognostic factors
| Autor: | Erkan Unsal, Mehmet Ozgur Cubuk |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Intraocular pressure genetic structures Gonioscopy Glaucoma Trabeculectomy Cataract Extraction Exfoliation Syndrome Tonometry Ocular 03 medical and health sciences Postoperative Complications 0302 clinical medicine Ophthalmology medicine Humans Intraocular Pressure Aged Retrospective Studies medicine.diagnostic_test business.industry General Medicine Middle Aged medicine.disease Trabeculotomy Treatment Outcome Pseudoexfoliative glaucoma 030221 ophthalmology & optometry business Glaucoma Open-Angle 030217 neurology & neurosurgery Follow-Up Studies |
| Zdroj: | European Journal of Ophthalmology. 31:460-468 |
| ISSN: | 1724-6016 1120-6721 |
| Popis: | Purpose: To present the results and complications of gonioscopy-assisted transluminal trabeculotomy in adults with open-angle glaucoma using our different approaches during and after surgery. Method: A retrospective comparative study was designed. Patients with regular 12-month follow-up history were included. Two groups were defined: group 1 comprised patients with open-angle glaucoma who underwent gonioscopy-assisted transluminal trabeculotomy surgery alone; group 2 included patients with open-angle glaucoma who underwent combined gonioscopy-assisted transluminal trabeculotomy and cataract extraction. A 30% reduction in preoperative intraocular pressure or postoperative intraocular pressure below 18 mm Hg was considered as surgical success. The success rate, alteration in intraocular pressure, alteration in best-corrected visual acuity, alteration in the need for antiglaucomatous medications, surgical complications, and the need for additional glaucoma surgery were evaluated and compared between the groups. Multivariate logistic regression analysis was used to show the association between the surgical success and possible prognostic factors. Results: A total of 37 eyes fulfilled the inclusion criteria and were analyzed in this study. An overall mean decrease in intraocular pressure of 11.3 ± 9.3 mm Hg was shown at 12 months (p 0.05). The most common postoperative complication was hyphemia (89.1%). There were no complications that threatened best-corrected visual acuity. Multivariate logistic regression analysis revealed one significant association between the presence of blood in Schlemm’s canal and surgical success (odds ratio = 1.47; 95% confidence interval = 1.25–1.68; p = 0.047). Conclusion: This study showed that the gonioscopy-assisted transluminal trabeculotomy procedure is an effective and minimally invasive form of glaucoma surgery. Its effect was related to intraoperative blood in Schlemm’s canal. |
| Databáze: | OpenAIRE |
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