Evidence map›Paper›PMID 40540049›Full record

ArticleInternational ophthalmology2025

Effect of preoperative antiglaucoma medication duration on surgical outcomes of gonioscopy-assisted transluminal trabeculotomy in open-angle glaucoma.

Rukiye Kilic Ucgul, Ahmet Yucel Ucgul, Mehmet Ozgur Cubuk

Abstract readComparative Study
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In one paragraph

Article in International ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Rukiye Kilic UcgulDepartment of Ophthalmology, Kırşehir Training and Research Hospital, Ahi Evran University, Bağlıca Mah. Hacıkadirbey Sokak, Palmiye Evleri-1 no:20/14, Etimesgut, Ankara, Kırşehir, Turkey.
Ahmet Yucel UcgulDepartment of Ophthalmology, Kırşehir Training and Research Hospital, Ahi Evran University, Bağlıca Mah. Hacıkadirbey Sokak, Palmiye Evleri-1 no:20/14, Etimesgut, Ankara, Kırşehir, Turkey. ahmet.yucel.ucgul@gmail.com.
Mehmet Ozgur CubukDepartment of Ophthalmology, Liv Hospital, Istanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the impact of preoperative antiglaucoma medication duration on the surgical outcomes of gonioscopy-assisted transluminal trabeculotomy (GATT) in patients with open-angle glaucoma (OAG).

designRetrospective comparative study. PATIENTS AND

methodsThis retrospective case series included 64 eyes from patients diagnosed with primary OAG or pseudoexfoliative glaucoma who underwent 360-degree GATT. Patients were categorized into three groups based on the duration of preoperative medication use: short-term (< 2 years), moderate-term (2-5 years), and long-term (> 5 years). Intraocular pressure (IOP) was measured using Goldmann applanation tonometry during follow-up visits, and surgical success was defined based on IOP reduction criteria. The number of glaucoma medications, best-corrected visual acuity, and postoperative complications were also recorded. Kaplan-Meier survival analysis was used to assess success rates.

resultsThe mean follow-up duration was 17.2 ± 6.8 months. The short-term, moderate-term, and long-term groups achieved significant IOP reductions (p < 0.001), with final mean IOPs of 13.2 ± 4.7 mmHg, 17.7 ± 6.4 mmHg, and 18.1 ± 6.9 mmHg, respectively (p = 0.002). The mean number of postoperative medications decreased significantly across all groups (p = 0.032). Qualified success rates were 92.3%, 77.2%, and 79.3% for the short-term, moderate-term, and long-term groups, respectively, while complete success rates were 76.9%, 63.6%, and 58.6%.

conclusionGATT effectively lowers IOP in patients with OAG, though prolonged preoperative medication use is associated with reduced surgical success and higher postoperative medication dependence. Early surgical intervention may enhance long-term outcomes for patients with a history of escalating medication regimens.

Indexed as

Antiglaucoma AgentsGlaucoma, Open-AnglePostoperative ComplicationsPreoperative CareTrabeculectomyAgedAged, 80 and overDuration of TherapyFemaleFollow-Up StudiesGonioscopyHumansIntraocular PressureKaplan-Meier EstimateMaleMiddle AgedAntiglaucoma AgentsAntiglaucoma medicationGATTGonioscopy-assisted transluminal trabeculotomyOpen-angle glaucoma

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.