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Ultra biomicroscopy findings in goniotomy-assisted transluminal trabeculotomy — a case report
, 1234, 12, 135, 135
Affiliations- Collective Innovations Colombia, Cali, Colombia
- Pontificia Universidad Javeriana, Cali, Colombia
- GSR Medical Center, Cali, Colombia
- GSR International, United States, united states
- University of Tennessee Health Science Center, United States
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Abstract
Background: Goniotomy-assisted transluminal trabeculotomy (GATT) is a minimally invasive technique that avoids conjunctival incision and is guided by light through the Schlemm’s canal using a microcatheter with an illuminated tip. This technique decreases intraocular pressure (IOP) by improving flow through the Schlemm’s canal. We present two cases of glaucoma patients who underwent GATT surgery for IOP control.
Cases presentation: The first case is a 19-year patient with juvenile glaucoma that underwent GATT because of uncontrolled IOP with a successful outcome. The second case is a 64-year female patient with primary open-angle glaucoma who underwent GATT surgery because of uncontrolled IOP who presented a cyclodialysis secondary to the procedure, with an adequate IOP after surgery. Ultra biomicroscopy (UBM) was used to assess the anatomical changes associated with surgery.
Conclusions: Goniotomy-assisted transluminal trabeculotomy is a safe technique but not free of risks and potential complications. Ultra biomicroscopy is a diagnostic aid that allows us to provide valuable information to evaluate the pre-surgical, post-surgical anatomy and possible complications to follow-up and guide the management
in required cases.
Abstract
Background: Goniotomy-assisted transluminal trabeculotomy (GATT) is a minimally invasive technique that avoids conjunctival incision and is guided by light through the Schlemm’s canal using a microcatheter with an illuminated tip. This technique decreases intraocular pressure (IOP) by improving flow through the Schlemm’s canal. We present two cases of glaucoma patients who underwent GATT surgery for IOP control.
Cases presentation: The first case is a 19-year patient with juvenile glaucoma that underwent GATT because of uncontrolled IOP with a successful outcome. The second case is a 64-year female patient with primary open-angle glaucoma who underwent GATT surgery because of uncontrolled IOP who presented a cyclodialysis secondary to the procedure, with an adequate IOP after surgery. Ultra biomicroscopy (UBM) was used to assess the anatomical changes associated with surgery.
Conclusions: Goniotomy-assisted transluminal trabeculotomy is a safe technique but not free of risks and potential complications. Ultra biomicroscopy is a diagnostic aid that allows us to provide valuable information to evaluate the pre-surgical, post-surgical anatomy and possible complications to follow-up and guide the management
in required cases.
Keywords
glaucoma; intraocular pressure; goniotomy-assisted transluminal trabeculotomy
About this articleTitle
Ultra biomicroscopy findings in goniotomy-assisted transluminal trabeculotomy — a case report
Journal
Issue
Vol 6 (2021): Continuous Publishing
Article type
Case report
Pages
178-183
Published online
2021-10-27
Page views
5879
Article views/downloads
328
DOI
Bibliographic record
Ophthalmol J 2021;6:178-183.
Keywords
glaucoma
intraocular pressure
goniotomy-assisted transluminal trabeculotomy
Authors
Catalina Ferreira
Carlos Eduardo Rivera
Juan Carlos Aristizabal
Ankur Seth
Edgar Muñoz
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