Outcomes of gonioscopy-assisted transluminal trabeculotomy in pseudoexfoliative glaucoma: 24-month follow-up. Br J Ophthalmol. 2020 Jul 29:bjophthalmol-2020-315954. doi: 10.1136/bjophthalmol-2020-315954. Epub ahead of print. PMID: 32727734.
Summary
Method: The study included 84 patients with a total of 103 eyes with PEX who underwent a 360-degree gonioscopic-assisted ab interno trabeculotomy (GATT) using a 5.0 polypropylene suture or an illuminated microcatheter. Patients were followed postoperatively for up to 24 months. The main measures were intraocular pressure (IOP), number of anti-glaucoma medications taken by the patient, success rate (IOP reduction ≥20% from baseline or IOP between 6 and 21 mm Hg, without further glaucoma surgery) and complication rate.
Résultats : La PIO moyenne préopératoire était de 27,1 mm Hg (95 % IC 25,5 à 28,7) en utilisant 2,9 (ET 1,1) médicaments contre le glaucome. Suite à l’opération, la PIO a diminué en moyenne à 13,0 mm Hg (95 % IC 11,5 à 14,4) et à 1,0 (ET 1,1) médicament après 24 mois (p<0,001). Le taux de réussite était de 89,2 % à 24 mois de suivi, et le taux de complications de 2,9 %.
Conclusion: At 24 months follow-up, our results for GATT in patients with GPEX show that this conjunctival-preserving surgery effectively lowers IOP and reduces medication with a low complication rate in this relatively aggressive type of glaucoma.
