Outcome of Gonioscopy-Assisted Transluminal Trabeculotomy in Uveitic Glaucoma.
Gonioscopy-assisted trabeculotomy was followed by a 62% drop in eye pressure.
Outcome of Gonioscopy-Assisted Transluminal Trabeculotomy in Uveitic Glaucoma.
PRECIS: gonioscopy-assisted transluminal trabeculotomy was effective in decreasing the IOP and number of glaucoma medications significantly in patients with uveitic glaucoma.
To study the efficacy and safety of gonioscopy-assisted transluminal trabeculotomy (gonioscopy-assisted transluminal trabeculotomy) in uveitic glaucoma (uveitic glaucoma).
This was a prospective interventional case series that included 42 eyes of 35 patients with open angle uveitic glaucoma who required glaucoma surgery.
eye pressure dropped substantially after surgery, easing strain on the optic nerve
The number of glaucoma medications decreased from 3.67±1.18 to 0.97±1.12 (P <0.001).
Mean BCVA (log MAR) improved from 0.62±0.79 preoperatively to 0.51±0.72 at 12 months (P= 0.054).
At the final follow up, complete success was achieved in 21 eyes (50%), qualified success in 16 eyes (38.1%) and failure in fives eyes (11.9%).
The only significant adverse prognostic factor was uveitis activity at the time of surgery which was associated with higher likelihood of requiring glaucoma medications (P-value= 0.04- OR=4.85).
Gonioscopy-assisted transluminal trabeculotomy is a safe and effective procedure for uveitic glaucoma.
The outcome is influenced by the uveitis activity at the time of surgery, which can result in the need for more antiglaucoma medications postoperatively.