Outcomes of gonioscopy-assisted transluminal trabeculotomy in pseudoexfoliative glaucoma: 24-month follow-up
| Autor: | Adriano Guarnieri, Daniel Josef Lindegger, Eamon Sharkawi, Lydia Lehmann-Clarke, Mohamad El Wardani, Marie Misteli, Paul H. Artes, Jérôme Pasquier |
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| Rok vydání: | 2020 |
| Předmět: |
Male
0301 basic medicine Intraocular pressure medicine.medical_specialty genetic structures medicine.medical_treatment Gonioscopy Glaucoma Trabeculectomy Exfoliation Syndrome treatment surgery Tonometry Ocular 03 medical and health sciences Cellular and Molecular Neuroscience 0302 clinical medicine Ophthalmology Glaucoma surgery Humans Medicine Prospective Studies Intraocular Pressure Aged Aged 80 and over medicine.diagnostic_test business.industry Suture Techniques Outcome measures Middle Aged Clinical Science medicine.disease Trabeculotomy eye diseases Sensory Systems Treatment Outcome 030104 developmental biology Pseudoexfoliative glaucoma 030221 ophthalmology & optometry Female sense organs business Glaucoma Open-Angle Follow-Up Studies Month follow up |
| Zdroj: | The British Journal of Ophthalmology |
| ISSN: | 1468-2079 0007-1161 |
| DOI: | 10.1136/bjophthalmol-2020-315954 |
| Popis: | AimTo report on outcomes of gonioscopy-assisted transluminal trabeculotomy (GATT) in eyes with pseudoexfoliative glaucoma (PXG).MethodsProspective, interventional, non-comparative case series. A total of 103 eyes from 84 patients with PXG were enrolled to undergo a 360-degree ab interno trabeculotomy with gonioscopic assistance using either a 5.0 polypropylene suture or an illuminated microcatheter with up to 24 months of follow-up. Main outcome measures were intraocular pressure (IOP), number of antiglaucoma medications, success rate (IOP reduction ≥20% from baseline or IOP between 6 and 21 mm Hg, without further glaucoma surgery) and complication rate.ResultsMean preoperative IOP was 27.1 mm Hg (95% CI 25.5 to 28.7) using 2.9 (SD 1.1) glaucoma medications which decreased postoperatively to 13.0 mm Hg (95% CI 11.5 to 14.4) and 1.0 (SD 1.1) medications at 24 months (pConclusionAt 24 months of follow-up, our results for GATT in PXG demonstrate that this conjunctival sparing procedure effectively lowers IOP and reduces the medications with a low complication rate, in this relatively aggressive glaucoma subtype. |
| Databáze: | OpenAIRE |
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