Combined Gonioscopy-Assisted Transluminal Trabeculotomy (GATT) with Ab Interno Canaloplasty (ABiC) in Conjunction with Phacoemulsification: 12-Month Outcomes
Ahmed Al Habash,1 Muath Alrushoud,2 Omar Al Abdulsalam,3 Abdulaziz Ismail Al Somali,4 Mohanna Aljindan,1 Adel Salah Al Ahmadi5 1Department of Ophthalmology, College of Medicine, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia; 2Eye Specialist Hospit...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2020-08-01
|
| Series: | Clinical Ophthalmology |
| Subjects: | |
| Online Access: | https://www.dovepress.com/combined-gonioscopy-assisted-transluminal-trabeculotomy-gatt-with-ab-i-peer-reviewed-article-OPTH |
| _version_ | 1818420902404030464 |
|---|---|
| author | Al Habash A Alrushoud M Al Abdulsalam O Al Somali AI Aljindan M Al Ahmadi AS |
| author_facet | Al Habash A Alrushoud M Al Abdulsalam O Al Somali AI Aljindan M Al Ahmadi AS |
| author_sort | Al Habash A |
| collection | DOAJ |
| description | Ahmed Al Habash,1 Muath Alrushoud,2 Omar Al Abdulsalam,3 Abdulaziz Ismail Al Somali,4 Mohanna Aljindan,1 Adel Salah Al Ahmadi5 1Department of Ophthalmology, College of Medicine, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia; 2Eye Specialist Hospital, Ministry of Health, Dhahran, Saudi Arabia; 3Ophthalmology Division, King Abdulaziz Hospital, Ministry of National Guard Health Affairs, Al Ahsa, Saudi Arabia; 4Ophthalmology Department, King Faisal University, Al Hofuf, Saudi Arabia; 5Ministry of Health, Madinah, Saudi ArabiaCorrespondence: Ahmed Al HabashKing Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Dammam, Saudi ArabiaTel +966 507017777Email ahmedalhabash@gmail.comPurpose: To report the surgical outcomes of combined gonioscopy-assisted transluminal trabeculotomy (GATT) with ab interno canaloplasty (ABiC) in conjunction with phacoemulsification for primary open-angle glaucoma (POAG).Patients and Methods: This prospective, interventional, non-comparative case series included POAG patients who underwent combined GATT and ABiC in conjunction with phacoemulsification performed between January 2018 and August 2018. Main outcome measures include surgical success rate, changes in intraocular pressure (IOP), number of antiglaucoma medications, corrected distance visual acuity (CDVA), and complications.Results: We enrolled twenty eyes of 19 patients in our study. The mean age was 61.2 ± 6 years, and all the patients completed a 12-month follow-up. The overall success rate was 100%. The mean baseline IOP was 19.75 ± 4.68 mmHg, and at 12 months, the mean IOP was 13.30 ± 1.30 mmHg (IOP reduction of 32.7%). The baseline number of antiglaucoma medications was 3.4 ± 0.6 (range: 2 to 4 medications), and after 12 months follow-up, the number was reduced to 1.1 ± 1.0 (range: 0 to 2 medications). The CDVA for all 20 eyes was 0.85± 0.58 LogMAR at baseline, and 0.16± 0.30 LogMAR at 12-month follow-up. Only six eyes developed hyphaema, which had cleared by the first postoperative month, and three eyes needed medical treatment for postoperative IOP spikes.Conclusion: The 12-month results of our study suggest that combined GATT with ABiC in conjunction with phacoemulsification is a safe and effective alternative in decreasing the IOP and number of antiglaucoma medications in POAG patients.Keywords: primary open-angle glaucoma, Minimally Invasive Glaucoma Surgery, Gonioscopy-Assisted Transluminal Trabeculotomy, Ab Interno Canaloplasty, Schlemm’s Canal, glaucoma medication |
| first_indexed | 2024-12-14T13:01:51Z |
| format | Article |
| id | doaj.art-f6fcd9a6e1d044168665d20dd40068cc |
| institution | Directory Open Access Journal |
| issn | 1177-5483 |
| language | English |
| last_indexed | 2024-12-14T13:01:51Z |
| publishDate | 2020-08-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Clinical Ophthalmology |
| spelling | doaj.art-f6fcd9a6e1d044168665d20dd40068cc2022-12-21T23:00:26ZengDove Medical PressClinical Ophthalmology1177-54832020-08-01Volume 142491249656574Combined Gonioscopy-Assisted Transluminal Trabeculotomy (GATT) with Ab Interno Canaloplasty (ABiC) in Conjunction with Phacoemulsification: 12-Month OutcomesAl Habash AAlrushoud MAl Abdulsalam OAl Somali AIAljindan MAl Ahmadi ASAhmed Al Habash,1 Muath Alrushoud,2 Omar Al Abdulsalam,3 Abdulaziz Ismail Al Somali,4 Mohanna Aljindan,1 Adel Salah Al Ahmadi5 1Department of Ophthalmology, College of Medicine, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia; 2Eye Specialist Hospital, Ministry of Health, Dhahran, Saudi Arabia; 3Ophthalmology Division, King Abdulaziz Hospital, Ministry of National Guard Health Affairs, Al Ahsa, Saudi Arabia; 4Ophthalmology Department, King Faisal University, Al Hofuf, Saudi Arabia; 5Ministry of Health, Madinah, Saudi ArabiaCorrespondence: Ahmed Al HabashKing Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Dammam, Saudi ArabiaTel +966 507017777Email ahmedalhabash@gmail.comPurpose: To report the surgical outcomes of combined gonioscopy-assisted transluminal trabeculotomy (GATT) with ab interno canaloplasty (ABiC) in conjunction with phacoemulsification for primary open-angle glaucoma (POAG).Patients and Methods: This prospective, interventional, non-comparative case series included POAG patients who underwent combined GATT and ABiC in conjunction with phacoemulsification performed between January 2018 and August 2018. Main outcome measures include surgical success rate, changes in intraocular pressure (IOP), number of antiglaucoma medications, corrected distance visual acuity (CDVA), and complications.Results: We enrolled twenty eyes of 19 patients in our study. The mean age was 61.2 ± 6 years, and all the patients completed a 12-month follow-up. The overall success rate was 100%. The mean baseline IOP was 19.75 ± 4.68 mmHg, and at 12 months, the mean IOP was 13.30 ± 1.30 mmHg (IOP reduction of 32.7%). The baseline number of antiglaucoma medications was 3.4 ± 0.6 (range: 2 to 4 medications), and after 12 months follow-up, the number was reduced to 1.1 ± 1.0 (range: 0 to 2 medications). The CDVA for all 20 eyes was 0.85± 0.58 LogMAR at baseline, and 0.16± 0.30 LogMAR at 12-month follow-up. Only six eyes developed hyphaema, which had cleared by the first postoperative month, and three eyes needed medical treatment for postoperative IOP spikes.Conclusion: The 12-month results of our study suggest that combined GATT with ABiC in conjunction with phacoemulsification is a safe and effective alternative in decreasing the IOP and number of antiglaucoma medications in POAG patients.Keywords: primary open-angle glaucoma, Minimally Invasive Glaucoma Surgery, Gonioscopy-Assisted Transluminal Trabeculotomy, Ab Interno Canaloplasty, Schlemm’s Canal, glaucoma medicationhttps://www.dovepress.com/combined-gonioscopy-assisted-transluminal-trabeculotomy-gatt-with-ab-i-peer-reviewed-article-OPTHiopprimary open-angle glaucomaglaucoma medication. |
| spellingShingle | Al Habash A Alrushoud M Al Abdulsalam O Al Somali AI Aljindan M Al Ahmadi AS Combined Gonioscopy-Assisted Transluminal Trabeculotomy (GATT) with Ab Interno Canaloplasty (ABiC) in Conjunction with Phacoemulsification: 12-Month Outcomes Clinical Ophthalmology iop primary open-angle glaucoma glaucoma medication. |
| title | Combined Gonioscopy-Assisted Transluminal Trabeculotomy (GATT) with Ab Interno Canaloplasty (ABiC) in Conjunction with Phacoemulsification: 12-Month Outcomes |
| title_full | Combined Gonioscopy-Assisted Transluminal Trabeculotomy (GATT) with Ab Interno Canaloplasty (ABiC) in Conjunction with Phacoemulsification: 12-Month Outcomes |
| title_fullStr | Combined Gonioscopy-Assisted Transluminal Trabeculotomy (GATT) with Ab Interno Canaloplasty (ABiC) in Conjunction with Phacoemulsification: 12-Month Outcomes |
| title_full_unstemmed | Combined Gonioscopy-Assisted Transluminal Trabeculotomy (GATT) with Ab Interno Canaloplasty (ABiC) in Conjunction with Phacoemulsification: 12-Month Outcomes |
| title_short | Combined Gonioscopy-Assisted Transluminal Trabeculotomy (GATT) with Ab Interno Canaloplasty (ABiC) in Conjunction with Phacoemulsification: 12-Month Outcomes |
| title_sort | combined gonioscopy assisted transluminal trabeculotomy gatt with ab interno canaloplasty abic in conjunction with phacoemulsification 12 month outcomes |
| topic | iop primary open-angle glaucoma glaucoma medication. |
| url | https://www.dovepress.com/combined-gonioscopy-assisted-transluminal-trabeculotomy-gatt-with-ab-i-peer-reviewed-article-OPTH |
| work_keys_str_mv | AT alhabasha combinedgonioscopyassistedtransluminaltrabeculotomygattwithabinternocanaloplastyabicinconjunctionwithphacoemulsification12monthoutcomes AT alrushoudm combinedgonioscopyassistedtransluminaltrabeculotomygattwithabinternocanaloplastyabicinconjunctionwithphacoemulsification12monthoutcomes AT alabdulsalamo combinedgonioscopyassistedtransluminaltrabeculotomygattwithabinternocanaloplastyabicinconjunctionwithphacoemulsification12monthoutcomes AT alsomaliai combinedgonioscopyassistedtransluminaltrabeculotomygattwithabinternocanaloplastyabicinconjunctionwithphacoemulsification12monthoutcomes AT aljindanm combinedgonioscopyassistedtransluminaltrabeculotomygattwithabinternocanaloplastyabicinconjunctionwithphacoemulsification12monthoutcomes AT alahmadias combinedgonioscopyassistedtransluminaltrabeculotomygattwithabinternocanaloplastyabicinconjunctionwithphacoemulsification12monthoutcomes |