Gonioscopy-assisted transluminal trabeculotomy using an illuminated catheter for infantile primary congenital glaucoma. Case series
Purpose: To describe our experience of Gonioscopy-Assisted Transluminal Trabeculotomy (GATT) in four eyes with infantile primary congenital glaucoma (PCG). Observations: We report the first two GATT procedures performed in six-month-old infants with PCG. We also report the same procedure in two eyes...
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| Format: | Article |
| Language: | English |
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Elsevier
2020-09-01
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| Series: | American Journal of Ophthalmology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S245199361830207X |
| _version_ | 1818112970111057920 |
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| author | Lydia Lehmann-Clarke Yalda Sadeghi Adriano Guarnieri Eamon Sharkawi |
| author_facet | Lydia Lehmann-Clarke Yalda Sadeghi Adriano Guarnieri Eamon Sharkawi |
| author_sort | Lydia Lehmann-Clarke |
| collection | DOAJ |
| description | Purpose: To describe our experience of Gonioscopy-Assisted Transluminal Trabeculotomy (GATT) in four eyes with infantile primary congenital glaucoma (PCG). Observations: We report the first two GATT procedures performed in six-month-old infants with PCG. We also report the same procedure in two eyes of a two-year-old boy with PCG who had previous goniotomies with subsequent peripheral anterior synechiae formation. In all four eyes, the IOP remained under 20 mmHg at years three and four postoperatively, without glaucoma medication or conjunctival surgery. Conclusions and importance: Our cases confirm that GATT is an alternative to traditional ab externo glaucoma surgery in PCG and can be successfully performed within the first months of life, or in infants with failed or partially functioning goniotomies, avoiding the need for invasive conjunctival or scleral surgery. |
| first_indexed | 2024-12-11T03:27:23Z |
| format | Article |
| id | doaj.art-30449d0cb62449ddb7b3917ea17e3dbe |
| institution | Directory Open Access Journal |
| issn | 2451-9936 |
| language | English |
| last_indexed | 2024-12-11T03:27:23Z |
| publishDate | 2020-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj.art-30449d0cb62449ddb7b3917ea17e3dbe2022-12-22T01:22:27ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362020-09-0119100733Gonioscopy-assisted transluminal trabeculotomy using an illuminated catheter for infantile primary congenital glaucoma. Case seriesLydia Lehmann-Clarke0Yalda Sadeghi1Adriano Guarnieri2Eamon Sharkawi3Swiss Eye Centre, Avenue de Rumine 64, 1005, Lausanne, Switzerland; Jules Gonin Eye Hospital, Avenue de France 15, 1002, Lausanne, SwitzerlandJules Gonin Eye Hospital, Avenue de France 15, 1002, Lausanne, SwitzerlandSwiss Eye Centre, Avenue de Rumine 64, 1005, Lausanne, SwitzerlandSwiss Eye Centre, Avenue de Rumine 64, 1005, Lausanne, Switzerland; Jules Gonin Eye Hospital, Avenue de France 15, 1002, Lausanne, Switzerland; Corresponding author. Swiss Eye Centre, Avenue de Rumine 64, Lausanne, 1005, Switzerland.Purpose: To describe our experience of Gonioscopy-Assisted Transluminal Trabeculotomy (GATT) in four eyes with infantile primary congenital glaucoma (PCG). Observations: We report the first two GATT procedures performed in six-month-old infants with PCG. We also report the same procedure in two eyes of a two-year-old boy with PCG who had previous goniotomies with subsequent peripheral anterior synechiae formation. In all four eyes, the IOP remained under 20 mmHg at years three and four postoperatively, without glaucoma medication or conjunctival surgery. Conclusions and importance: Our cases confirm that GATT is an alternative to traditional ab externo glaucoma surgery in PCG and can be successfully performed within the first months of life, or in infants with failed or partially functioning goniotomies, avoiding the need for invasive conjunctival or scleral surgery.http://www.sciencedirect.com/science/article/pii/S245199361830207XCongenital glaucomaab internoTrabeculotomy360-DegreeGATT |
| spellingShingle | Lydia Lehmann-Clarke Yalda Sadeghi Adriano Guarnieri Eamon Sharkawi Gonioscopy-assisted transluminal trabeculotomy using an illuminated catheter for infantile primary congenital glaucoma. Case series American Journal of Ophthalmology Case Reports Congenital glaucoma ab interno Trabeculotomy 360-Degree GATT |
| title | Gonioscopy-assisted transluminal trabeculotomy using an illuminated catheter for infantile primary congenital glaucoma. Case series |
| title_full | Gonioscopy-assisted transluminal trabeculotomy using an illuminated catheter for infantile primary congenital glaucoma. Case series |
| title_fullStr | Gonioscopy-assisted transluminal trabeculotomy using an illuminated catheter for infantile primary congenital glaucoma. Case series |
| title_full_unstemmed | Gonioscopy-assisted transluminal trabeculotomy using an illuminated catheter for infantile primary congenital glaucoma. Case series |
| title_short | Gonioscopy-assisted transluminal trabeculotomy using an illuminated catheter for infantile primary congenital glaucoma. Case series |
| title_sort | gonioscopy assisted transluminal trabeculotomy using an illuminated catheter for infantile primary congenital glaucoma case series |
| topic | Congenital glaucoma ab interno Trabeculotomy 360-Degree GATT |
| url | http://www.sciencedirect.com/science/article/pii/S245199361830207X |
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