Rev Bras Oftalmol.2022;81:e0002
Evaluation of efficacy of gonioscopy-assisted transluminal trabeculotomy in advanced-stage and non-advanced stage glaucoma
DOI: 10.37039/1982.8551.20220002
ABSTRACT
Objective
To evaluate efficacy of gonioscopy-assisted transluminal trabeculotomy and relate to severity of glaucoma.
Methods
A retrospective analysis of medical records of patients submitted to gonioscopy-assisted transluminal trabeculotomy, at a private hospital, from 2019 to 2021.
Results
A total of 20 were submitted to gonioscopy-assisted transluminal trabeculotomy (2 eyes) or facectomy and gonioscopy-assisted transluminal trabeculotomy (18 eyes). Patients with advanced-stage disease achieved a decrease by 5 mmHg (26.5%) in IOP, with a reduction of 2.3 drugs, and eyes with mild or moderate glaucoma showed a drop by 8 mmHg (40%) in mean IOP and of 2.1 drugs. Half of the operated eyes had hyphema in the first days as the main surgical complication.
Conclusion
Gonioscopy-assisted transluminal trabeculotomy is an effective procedure to reduce IOP and the number of drugs being used, with greater IOP decrease in eyes with mild/moderate glaucoma.
Keywords: Glaucoma; Gonioscopy; Intraocular pressure; Trabeculotomy
