Editorial janeiro 12, 2022 janeiro 12, 2022

Current situation of minimally invasive glaucoma surgery in Brazil

DOI: 10.37039/1982.8551.20220001

GONIOSCOPY-ASSISTED TRANSLUMINAL TRABECULOTOMY

Described in 2014, the GATT involves the introduction of a microcatheter circumferentially running through Schlemm’s canal, creating a 360^o ab interno trabeculotomy.⁽⁾ Alternatively, suture with Prolene® or Nylon 5-0 or 6-0 with a tip modified by cautery can be used, reducing costs, and maintaining safety profile and results.⁽⁾

Grover et al.⁽⁾followed up 198 patients undergoing GATT for 24 months, and found a mean IOP reduction by 9.2 mmHg in POAG patients, and a mean reduction of 1.43 medication. The mean reduction was 37.3%, with hyphema as the most common postoperative complication, observed in 23 to 38% of cases.⁽⁾

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