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Updated: Oct 4, 2025

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Gonioscopy-assisted transluminal trabeculotomy in primary congenital glaucoma
Yunhe Song1, Xiulan Zhang1, Robert N Weinreb2
1State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou 510060, China.
Purpose:
To report a case of gonioscopy-assisted transluminal trabeculotomy (GATT) in a patient with primary congenital glaucoma.
Observations:
A three-year-old boy who presented with buphthalmos and elevated intraocular pressure. Despite the presence of iris and iris processes extending to Schwalbe's line, GATT was performed successfully.
Conclusions:
GATT may be successful with primary congenital glaucoma even when angle structures are not initially visible.
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