Gonioscopy-assisted transluminal trabeculotomy using an illuminated catheter for infantile primary congenital glaucoma. Case series. Am J Ophthalmol Case Rep. 2020 May 8;19:100733. doi: 10.1016/j.ajoc.2020.100733. PMID: 32462099; PMCID: PMC7240732.
Summary
We describe the first two GATT procedures performed in six-month-old infants with PCG. We also used the same procedure in the two eyes of a two-year-old boy with PCG who had undergone previous goniotomies with subsequent anterior peripheral synechiae formation. In the four eyes operated on in total, the IOP remained below 20 mmHg at the third and fourth postoperative year, without anti-glaucoma medication or conjunctival surgery.
Method: Case study of six-month-old infants and a two-year-old boy, with a total of four eyes operated on.
Conclusions: The study of these cases confirms that GATT is an alternative to traditional ab externo glaucoma surgery in GPC and can be performed successfully in the first months of life, or in infants whose goniotomy has failed or is partially successful, avoiding the need for invasive conjunctival or scleral surgery.
