ArticleInternational ophthalmology2025
Outcomes of gonioscopy-assisted 360-degree suture trabeculotomy in pseudoexfoliation glaucoma.
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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Abstract
purposeTo evaluate the outcomes of patients who underwent GATT. PATIENTS AND
methodsThirty-one eyes of 31 patients undergoing GATT were investigated with a diagnosis of pseudoexfoliation glaucoma. Medical history, demographic data, diagnosis, intraocular pressure (IOP), anti-glaucomatous medications, cup/disc ratio, and retinal nerve fiber layer (RNFL) data were recorded. IOP measurements, complications, anti-glaucomatous medications, and a necessity for surgical interventions were documented postoperatively at various time points.
resultsThe average age was 67.6 years, while the average follow-up duration was 17.7 months. All cases exhibited pseudo-exfoliation (PEX). The initial IOP averaged 23.4 ± 7.8 mmHg, while the mean IOP at the final follow-up was 13.3 ± 2.9 mmHg. At baseline, the median number of active anti-glaucomatous medications was 3 (IQR:2), whereas, at the final follow-up, it decreased to 0 (IQR:1.75). Seventeen cases (54.8%) were deemed a complete success, while 11 cases (35.4%) were considered a partial success, and 3 cases (9.6%) failed.
conclusionThe distinctiveness of our study stems from implementing 360-degree trabeculotomy in all cases, a pioneering approach within the field. The study concluded that gonioscopy-assisted 360-degree suture trabeculotomy should be prioritized as the initial surgical option for patients with pseudoexfoliation glaucoma.
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