Comparison of GATT versus micropulse transscleral diode laser cyclophotocoagulation combined with GATT in patients with advanced glaucoma

被引:0
作者
Karapapak, Murat [1 ,3 ]
Olgun, Ali [2 ]
机构
[1] Basaksehir Cam & Sakura City Hosp, Dept Ophthalmol, Istanbul, Turkiye
[2] West Eye Hosp, Dept Ophthalmol, Erbil, Iraq
[3] Basaksehir Olymp Blvd Rd, Istanbul, Turkiye
关键词
Advanced glaucoma; glaucoma surgery; gonioscopy-assisted transluminal trabeculotomy; intraocular pressure; micropulse transscleral diode laser cyclophotocoagulation; ASSISTED TRANSLUMINAL TRABECULOTOMY; INTRAOCULAR-PRESSURE; OUTCOMES; EYES; WAVE;
D O I
10.1177/11206721241247440
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Purpose To compare the efficacy of gonioscopy-assisted transluminal trabeculotomy (GATT) versus micropulse transscleral diode laser cyclophotocoagulation(MP-TDLC) combined with GATT in the treatment of advanced glaucoma.Methods This retrospective comparative study study included 82 patients (82 eyes) with a diagnosis of advanced glaucoma: 36 patients underwent GATT, and 46 underwent GATT + MP-TDLC. Intraocular pressure (IOP) changes in patients who underwent GATT and GATT MP-TDLC were analyzed retrospectively at regular intervals during the 6-month follow-up period.Results For the 82 patients included in this study, the mean +/- SD IOPs before the procedures were 27.2 +/- 8.5 mmHg in the GATT group and 26.6 +/- 6.9 mmHg in the GATT + MP-TDLC group (p = 0.866), and the numbers of glaucoma medications used were 3.41 +/- 0.5 in the GATT group and 3.36 +/- 0.4 in the GATT + MP-TDLC group (p = 0.605). The mean IOP after GATT was 13.6 +/- 3.9 mmHg at day 1, 13.9 +/- 3.7 mmHg at week 1, 14.6 +/- 4.0 mmHg at month 1, 15.3 +/- 4.3 mmHg at month 3, and 14.7 +/- 3.3 mmHg at month 6. In the GATT + MP-TDLC group, the postoperative day 1, week 1, month 1, month 3, and month 6 IOP values were 12.4 +/- 2.5, 11.8 +/- 1.8, 12.1 +/- 2.0, 11.8 +/- 1.09, and 11.8 +/- 1.5 mmHg, respectively.Conclusion GATT was found to be effective in the treatment of patients with advanced glaucoma, and results closer to the targeted low teens IOP values were obtained with GATT + MP-TDLC.
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页码:1489 / 1496
页数:8
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