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Gonioscopy-Assisted Transluminal Trabeculotomy in Angle Recession Glaucoma: A Case Report.
Abdullah Bin Hemid1, Basel M Alsolami1
1Ophthalmology, King Abdullah Medical City, Makkah, Saudi Arabia, kamc.med.sa.
Case Reports in Ophthalmological Medicine
|May 4, 2026
Summary
Angle recession glaucoma (ARG) in a teen was treated with gonioscopy-assisted transluminal trabeculotomy (GATT). GATT effectively lowered intraocular pressure (IOP) and restored vision, offering a minimally invasive surgical option for ARG.
Area of Science:
- Ophthalmology
- Surgical Innovation
Background:
- Angle recession glaucoma (ARG) can result from blunt ocular trauma.
- Medical management of ARG may be insufficient to control intraocular pressure (IOP).
Purpose of the Study:
- To report a case of ARG successfully managed with gonioscopy-assisted transluminal trabeculotomy (GATT).
Main Methods:
- A 15-year-old male with ARG following blunt trauma received maximal medical therapy without IOP control.
- The patient underwent gonioscopy-assisted transluminal trabeculotomy (GATT).
Main Results:
- GATT led to immediate postoperative IOP reduction.
- The patient achieved stable IOP (12 mmHg) at 1 year without medications.
- Full visual recovery and resolution of hyphema were observed.
Conclusions:
- GATT is a potentially effective, minimally invasive surgical option for managing ARG.
- This approach offers a favorable outcome for patients with traumatic glaucoma.
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