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Gonioscopy-Assisted Transluminal Trabeculotomy: A Review
Fayrouz Aboalazayem1, Abdelrahman M Elhusseiny1,2, Yasmine M El Sayed1
1Kasr Al-Ainy Hospitals, Cairo University, Cairo, Egypt.
Current Eye Research
|May 31, 2022
Summary
Gonioscopy-assisted transluminal trabeculotomy (GATT) is a safe and effective minimally invasive glaucoma surgery. It shows favorable outcomes for various types of adult and pediatric glaucoma by enhancing aqueous drainage.
Area of Science:
- Ophthalmology
- Glaucoma Surgery
- Minimally Invasive Procedures
Background:
- Glaucoma management requires effective methods to reduce intraocular pressure.
- Novel surgical techniques are being explored to improve aqueous humor outflow.
- Gonioscopy-assisted transluminal trabeculotomy (GATT) offers a new approach to glaucoma treatment.
Approach:
- A comprehensive literature search was conducted across major electronic databases.
- Studies evaluating the safety and efficacy of GATT in glaucoma patients were reviewed.
- Evidence regarding GATT's outcomes in pediatric and adult glaucoma was synthesized.
Key Points:
- GATT is a minimally invasive glaucoma surgery.
- It involves incising the inner wall of Schlemm's canal to enhance aqueous drainage.
- This procedure increases outflow through the natural physiologic pathway.
- GATT leads to intraocular pressure reduction in various glaucoma types.
Conclusions:
- GATT demonstrates favorable efficacy and safety profiles.
- It is effective for managing primary and secondary open-angle glaucoma.
- GATT is also beneficial for angle-closure glaucoma in both pediatric and adult populations.
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