Surgical outcomes of prolene gonioscopy-assisted transluminal trabeculotomy in patients with moderate to advanced open-angle glaucoma

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dc.authorid0000-0001-9945-793Xen_US
dc.authorid0000-0002-0957-1139en_US
dc.contributor.authorAktaş, Zeynep
dc.contributor.authorÜçgül, Ahmet Yücel
dc.contributor.authorBektaş, Çağlar
dc.contributor.authorKaramert, Selin Şahin
dc.date.accessioned2021-06-23T19:50:48Z
dc.date.available2021-06-23T19:50:48Z
dc.date.issued2019
dc.departmentBAİBÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractPrecis: The present study demonstrates that surgical success rate of gonioscopy-assisted transluminal trabeculotomy (GATT) is 83.7% according to target intraocular pressure (IOP) <= 21 mm Hg and >= 20% reduction from baseline in patients with moderate to advanced glaucoma, with an average follow-up of 19.4 months. Purpose: The aim of the study was to assess the outcomes of GATT in eyes with moderate to advanced open-angle glaucoma. Patients and Methods: A retrospective study included 104 eyes of 104 patients, with a mean age of 58.9 +/- 18.5 (15 to 87) years, who underwent GATT using the 6/0 prolene suture to treat open-angle glaucoma. The GATT procedure was carried out alone or in combination with phacoemulsification. IOP at baseline, third, sixth, ninth, 12th, and 18th months of follow-up; need of antiglaucoma medication; need of further glaucoma surgery; cup/disc ratio; and best-corrected visual acuity (BCVA) were recorded. Patients with prior incisional glaucoma surgery were excluded. Surgical success was determined for both IOP Results: A total of 65 patients with primary open-angle glaucoma (POAG) and 39 patients with secondary open-angle glaucoma (SOAG), including pseudoexfoliative, pigmentary, uveitic, and steroid-induced glaucoma underwent GATT. Preoperative mean IOP was 25.0 +/- 7.3 mm Hg. Preoperative average number of antiglaucoma medications was 3.4 +/- 0.6. The average follow-up time was 19.4 +/- 8.1 (6 to 37) months. Preoperative average BCVA was 0.51 +/- 0.24, and cup/disc ratio was 0.85 +/- 0.14. Surgical success was achieved in 87 of 104 (83.7%). Seven patients had medically uncontrolled glaucoma after GATT surgery, and they underwent further surgery. Patients with POAG had a higher percentage of IOP reduction than patients with SOAG at 18th month of follow-up (40.1% vs. 27.6%). Need for medication at final visit was similar between POAG and SOAG. Conclusion: GATT procedure is a safe and successful option for the treatment of moderate to advanced open-angle glaucoma. Surgical success could be maintained up to similar to 18 months.en_US
dc.identifier.doi10.1097/IJG.0000000000001331
dc.identifier.endpage888en_US
dc.identifier.issn1057-0829
dc.identifier.issn1536-481X
dc.identifier.issue10en_US
dc.identifier.pmid31385914en_US
dc.identifier.scopus2-s2.0-85072849378en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage884en_US
dc.identifier.urihttps://doi.org/10.1097/IJG.0000000000001331
dc.identifier.urihttps://hdl.handle.net/20.500.12491/9865
dc.identifier.volume28en_US
dc.identifier.wosWOS:000489610500008en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorÜçgül, Ahmet Yücel
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofJournal Of Glaucomaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAdvanced Glaucomaen_US
dc.subjectGATTen_US
dc.subjectGonioscopy-Assisted Transluminal Trabeculotomyen_US
dc.subjectModerate Glaucomaen_US
dc.subjectOpen-Angle Glaucomaen_US
dc.titleSurgical outcomes of prolene gonioscopy-assisted transluminal trabeculotomy in patients with moderate to advanced open-angle glaucomaen_US
dc.typeArticleen_US

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