ESCRS - PP24.13 - Surgical Outcomes Of Gonioscopy-Assisted Transluminal Trabeculotomy In Patiens With Failed Trabeculectomy

Surgical Outcomes Of Gonioscopy-Assisted Transluminal Trabeculotomy In Patiens With Failed Trabeculectomy

Published 2025 - 43rd Congress of the ESCRS

Reference: PP24.13 | Type: Poster | DOI: 10.82333/wx92-bc75

Authors: Altan ATAKAN Ozcan 1 , Tuğba Kurumoğlu* 2 , Sule Barman 3

1Ophthalmology,Cukurova University School of Medicine,Adana,Türkiye, 2Ophthalmology,Adana Sehir Hastanesi,Adana,Türkiye, 3Ophthalmology,Hatay MKU School of Medicine,Hatay,Türkiye

Purpose

To evaluate the success, safety, and complications of gonioscopy-assisted transluminal trabeculotomy (GATT) in patients with failed trabeculectomy.

Setting

Sevgi Eye Hospital & Adana Sehir Hospital, Adana-Türkiye

Methods

A retrospective study was conducted for 12 patients who underwent GATT surgery for failed trabeculectomy. Patients with primary open-angle glaucoma with failed trabeculectomy were enrolled into the study. The primary outcome measures were intraocular pressure (IOP), the number of antiglaucoma medications used, and complications after the surgery. 

Results

A significant decrease in IOP was observed after the surgery (P < 0.05). The average preoperative IOP was 31.2±8.2 mmHg, whereas it was 12.4±4.2 mmHg in the third postoperative month. A decrease in the number of glaucoma medications was seen compared to the preoperative period. The most frequent complication was found to be hyphaema, which dissappeared over time.

Conclusions

Performing GATT appears to be safe and successful in treating failed trabeculectomy patients with primary open-angle glaucoma with low complications.