DR. LIJI JOY

DR. MRUNALI DHAVALIKAR, Dr. Abhipsa Sahu, DR. GANESH V. RAMAN

Abstract

Aim: To retrospectively assess safety and success of Gonioscopy Assisted Transluminal Trabeculotomy (GATT) combined with phacoemulsification and IOL implantation surgery.

Methods: Patients who underwent GATT combined with phacoemulsification and IOL implantation between January 2021 and May 2022 were retrospectively reviewed. Primary outcome measures were IOP, change in visual acuity, number of glaucoma medications and complications.

Results: Thirteen eyes of 10 patients were included. Mean pre-treatment IOP was 21.15mm Hg with a mean of 2.5 medications. Following surgery, mean IOP improved to 13.92mm Hg (P=0.001) with no medication after a mean follow-up of 8.6 months. Mean visual acuity changed significantly from 0.54 at baseline to 0.32 postoperatively(p=0.025). The most frequent complication was hyphaema (53%).

Conclusion: GATT combined with cataract surgery is an effective treatment modality with minimal complications when performed on appropriate patients.

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