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Purpose <p>To evaluate the outcomes of patients who underwent GATT.</p> Patients and Methods <p>Thirty-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.</p> Results <p>The average age was 67.6&#xa0;years, while the average follow-up duration was 17.7&#xa0;months. All cases exhibited pseudo-exfoliation (PEX). The initial IOP averaged 23.4 ± 7.8&#xa0;mmHg, while the mean IOP at the final follow-up was 13.3 ± 2.9&#xa0;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.</p> Conclusion <p>The 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.</p>

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Outcomes of gonioscopy-assisted 360-degree suture trabeculotomy in pseudoexfoliation glaucoma

  • 期刊论文

  • 发表日期：

    2025年10月18日

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  • Emirhan Ozkul,
  • Hatice Tekcan,
  • Serhat Imamoglu,
  • Suleyman Kugu

摘要

Purpose

To evaluate the outcomes of patients who underwent GATT.

Patients and Methods

Thirty-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.

Results

The 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.

Conclusion

The 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.