Prognostic factors affecting the surgical success of gonioscopy-assisted transluminal trabeculotomy
Purpose: To investigate the prognostic factors affecting gonioscopy-assisted transluminal trabeculotomy (GATT) surgical success. Methods: Fifty-three eyes were retrospectively enrolled. Open-angle glaucoma patients with at least 6-month follow-up were included. At baseline, demographic characteristi...
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| Veröffentlicht in: | Indian journal of ophthalmology 2021-06, Vol.69 (6), p.1425-1429 |
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| description | Purpose: To investigate the prognostic factors affecting gonioscopy-assisted transluminal trabeculotomy (GATT) surgical success. Methods: Fifty-three eyes were retrospectively enrolled. Open-angle glaucoma patients with at least 6-month follow-up were included. At baseline, demographic characteristics, intraocular pressure (IOP), number of anti-glaucomatous medications (AG), and glaucoma type were recorded. Postoperatively, IOP, complications, and number of AG were noted. The effects of these parameters on surgical success were investigated. Results: The median follow-up time was 13.7 months. The mean IOP decreased from 25.6 ± 6.2 mm Hg at baseline to 14.6 ± 3.5 mm Hg at final, and the number of AG decreased from 3.2 ± 0.78 to 1.2 ± 1.3. When target IOP was considered as 18 mm Hg and 15 mm Hg, surgical success rates were 81.1% and 60.4%, respectively. When target IOP was considered as 18 mm Hg, a positive effect of the combination with cataract surgery and a negative effect of postoperative macrohyphema on success rates were observed. Other factors did not show any association with the success rates for both target IOP values when analyzed by the Cox proportional hazards regression analysis. Conclusion: Postoperative macrohyphema may affect surgical success rates negatively. The contribution of the combination with cataract surgery is controversial. Glaucoma stage does not seem to affect surgical success. |
| doi_str_mv | 10.4103/ijo.IJO_2035_20 |
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Methods: Fifty-three eyes were retrospectively enrolled. Open-angle glaucoma patients with at least 6-month follow-up were included. At baseline, demographic characteristics, intraocular pressure (IOP), number of anti-glaucomatous medications (AG), and glaucoma type were recorded. Postoperatively, IOP, complications, and number of AG were noted. The effects of these parameters on surgical success were investigated. Results: The median follow-up time was 13.7 months. The mean IOP decreased from 25.6 ± 6.2 mm Hg at baseline to 14.6 ± 3.5 mm Hg at final, and the number of AG decreased from 3.2 ± 0.78 to 1.2 ± 1.3. When target IOP was considered as 18 mm Hg and 15 mm Hg, surgical success rates were 81.1% and 60.4%, respectively. When target IOP was considered as 18 mm Hg, a positive effect of the combination with cataract surgery and a negative effect of postoperative macrohyphema on success rates were observed. Other factors did not show any association with the success rates for both target IOP values when analyzed by the Cox proportional hazards regression analysis. Conclusion: Postoperative macrohyphema may affect surgical success rates negatively. The contribution of the combination with cataract surgery is controversial. Glaucoma stage does not seem to affect surgical success.</description><identifier>ISSN: 0301-4738</identifier><identifier>EISSN: 1998-3689</identifier><identifier>DOI: 10.4103/ijo.IJO_2035_20</identifier><identifier>PMID: 34011713</identifier><language>eng</language><publisher>India: Wolters Kluwer India Pvt. Ltd</publisher><subject>Care and treatment ; Cataracts ; Eye surgery ; gatt ; Glaucoma ; macrohyphema ; minimal invasive glaucoma surgery ; Open-angle glaucoma ; Original ; Patient outcomes ; Prognosis ; Surgery ; Surgical outcomes ; Trabeculectomy</subject><ispartof>Indian journal of ophthalmology, 2021-06, Vol.69 (6), p.1425-1429</ispartof><rights>COPYRIGHT 2021 Medknow Publications and Media Pvt. Ltd.</rights><rights>2021. This article is published under (http://creativecommons.org/licenses/by-nc-sa/3.0/) (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright: © 2021 Indian Journal of Ophthalmology 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c679t-6624c14a710f5104955cf97baaa5d3e6f07658339d55ffd5d2bd444358a0740c3</citedby><cites>FETCH-LOGICAL-c679t-6624c14a710f5104955cf97baaa5d3e6f07658339d55ffd5d2bd444358a0740c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8302281/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8302281/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,861,882,2096,27439,27905,27906,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34011713$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bektas, Caglar</creatorcontrib><creatorcontrib>Aktas, Zeynep</creatorcontrib><creatorcontrib>Ucgul, Ahmet</creatorcontrib><creatorcontrib>Karamert, Selin</creatorcontrib><title>Prognostic factors affecting the surgical success of gonioscopy-assisted transluminal trabeculotomy</title><title>Indian journal of ophthalmology</title><addtitle>Indian J Ophthalmol</addtitle><description>Purpose: To investigate the prognostic factors affecting gonioscopy-assisted transluminal trabeculotomy (GATT) surgical success. Methods: Fifty-three eyes were retrospectively enrolled. Open-angle glaucoma patients with at least 6-month follow-up were included. At baseline, demographic characteristics, intraocular pressure (IOP), number of anti-glaucomatous medications (AG), and glaucoma type were recorded. Postoperatively, IOP, complications, and number of AG were noted. The effects of these parameters on surgical success were investigated. Results: The median follow-up time was 13.7 months. The mean IOP decreased from 25.6 ± 6.2 mm Hg at baseline to 14.6 ± 3.5 mm Hg at final, and the number of AG decreased from 3.2 ± 0.78 to 1.2 ± 1.3. When target IOP was considered as 18 mm Hg and 15 mm Hg, surgical success rates were 81.1% and 60.4%, respectively. When target IOP was considered as 18 mm Hg, a positive effect of the combination with cataract surgery and a negative effect of postoperative macrohyphema on success rates were observed. Other factors did not show any association with the success rates for both target IOP values when analyzed by the Cox proportional hazards regression analysis. Conclusion: Postoperative macrohyphema may affect surgical success rates negatively. The contribution of the combination with cataract surgery is controversial. Glaucoma stage does not seem to affect surgical success.</description><subject>Care and treatment</subject><subject>Cataracts</subject><subject>Eye surgery</subject><subject>gatt</subject><subject>Glaucoma</subject><subject>macrohyphema</subject><subject>minimal invasive glaucoma surgery</subject><subject>Open-angle glaucoma</subject><subject>Original</subject><subject>Patient outcomes</subject><subject>Prognosis</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><subject>Trabeculectomy</subject><issn>0301-4738</issn><issn>1998-3689</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><sourceid>DOA</sourceid><recordid>eNp9ks1v0zAYxiMEYmVw5oYiceGS7vVXHF-QtomPoknjAGfLdezMXWIXO6Hqf49Lt7GigiI5_vi9j_28eoriNYI5RUDO3CrMF1-uJQbC8vCkmCEhmorUjXhazIAAqignzUnxIqUVAOFINM-LE0IBIY7IrNBfY-h8SKPTpVV6DDGVylqjR-e7crwxZZpi57Tq80Rrk1IZbNkF70LSYb2tVEoujaYtx6h86qfB-czmxdLoqQ9jGLYvi2dW9cm8uvufFt8_fvh2-bm6uv60uDy_qnTNxVjVNaYaUcURWIaACsa0FXyplGItMbUFXrOGENEyZm3LWrxsKaWENQo4BU1Oi8Vetw1qJdfRDSpuZVBO_t4IsZMqZqO9kRgpbQAJo1pMUbPMl2IAyoFZI5RQWev9Xms9LQfTauOzpf5A9PDEuxvZhZ-yIYBxg7LAuzuBGH5MJo1ycEmbvlfehClJzLAQCCOOM_r2L3QVppjbmCRBNFsGRP9LYUYaxEUN5A_VqWzTeRvy6_Tuanle14SzBmD3uOoI1RlvspXgjXV5-4CfH-Hz15rB6aMFZ_sCHUNK0diHziGQu-TKnFz5KLm54s3jhj_w91HNwMUe2IR-NDHd9tPGRJnZWx82_9KVuXVM3oec_AKPQAAm</recordid><startdate>20210601</startdate><enddate>20210601</enddate><creator>Bektas, Caglar</creator><creator>Aktas, Zeynep</creator><creator>Ucgul, Ahmet</creator><creator>Karamert, Selin</creator><general>Wolters Kluwer India Pvt. 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Methods: Fifty-three eyes were retrospectively enrolled. Open-angle glaucoma patients with at least 6-month follow-up were included. At baseline, demographic characteristics, intraocular pressure (IOP), number of anti-glaucomatous medications (AG), and glaucoma type were recorded. Postoperatively, IOP, complications, and number of AG were noted. The effects of these parameters on surgical success were investigated. Results: The median follow-up time was 13.7 months. The mean IOP decreased from 25.6 ± 6.2 mm Hg at baseline to 14.6 ± 3.5 mm Hg at final, and the number of AG decreased from 3.2 ± 0.78 to 1.2 ± 1.3. When target IOP was considered as 18 mm Hg and 15 mm Hg, surgical success rates were 81.1% and 60.4%, respectively. When target IOP was considered as 18 mm Hg, a positive effect of the combination with cataract surgery and a negative effect of postoperative macrohyphema on success rates were observed. Other factors did not show any association with the success rates for both target IOP values when analyzed by the Cox proportional hazards regression analysis. Conclusion: Postoperative macrohyphema may affect surgical success rates negatively. The contribution of the combination with cataract surgery is controversial. Glaucoma stage does not seem to affect surgical success.</abstract><cop>India</cop><pub>Wolters Kluwer India Pvt. Ltd</pub><pmid>34011713</pmid><doi>10.4103/ijo.IJO_2035_20</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| source | Medknow Open Access Medical Journals; DOAJ Directory of Open Access Journals; PubMed Central Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Care and treatment Cataracts Eye surgery gatt Glaucoma macrohyphema minimal invasive glaucoma surgery Open-angle glaucoma Original Patient outcomes Prognosis Surgery Surgical outcomes Trabeculectomy |
| title | Prognostic factors affecting the surgical success of gonioscopy-assisted transluminal trabeculotomy |
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