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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.
Introduction:
We report a case of angle recession glaucoma (ARG) in a 15-year-old male following blunt ocular trauma, managed with gonioscopy-assisted transluminal trabeculotomy (GATT).
Case Presentation:
Despite maximal medical therapy, intraocular pressure (IOP) remained uncontrolled. Gonioscopy revealed approximately 5 clock hours of superior angle recession. The patient underwent GATT, which resulted in an immediate postoperative reduction in IOP, complicated by transient hyphema. At 1 year follow-up, the patient achieved stable IOP (12 mmHg) without anti-glaucoma medications, full visual recovery (20/20), and complete resolution of hyphema.
Conclusion:
This case highlights the potential role of GATT as an effective, minimally invasive surgical option for managing ARG.
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