{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T10:51:54Z","timestamp":1782730314321,"version":"3.54.5"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2020,6,26]],"date-time":"2020-06-26T00:00:00Z","timestamp":1593129600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,6,26]],"date-time":"2020-06-26T00:00:00Z","timestamp":1593129600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Ophthalmol"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>Pseudoexfoliation syndrome is common in elderly patients and is associated with intraocular pressure elevation. Goniowash is a novel surgical technique to remove pseudoexfoliation material from the irido-corneal angle to decrease intraocular pressure. We assessed the long-term efficacy of Goniowash on relevant parameters in patients with pseudoexfoliation syndrome, after cataract surgery.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>The study enrolled 122 patients with pseudoexfoliation syndrome, who underwent routine cataract surgery combined with Goniowash. Best-corrected visual acuity, intraocular pressure and medication status were recorded in study participants during 5\u00a0years of follow-up.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Data from 190 eyes (122 patients of average age 73.8\u2009\u00b1\u20097.7\u00a0years) were assessed. Mean best-corrected visual acuity increased from 0.60 to 1.0 (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) one year after surgery and remained stable throughout the follow-up. Average intraocular pressure decreased from 26.4\u2009\u00b1\u20097.3\u00a0mmHg pre-operatively to 15.9\u2009\u00b1\u20093.0\u00a0mmHg post operatively at one year (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), 16.1\u2009\u00b1\u20093.3\u00a0mmHg (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) at 3\u00a0years and 16.8\u2009\u00b1\u20092.9 (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) at 5\u00a0years. Mean number of ocular hypotensive medications decreased from 1.5\u2009\u00b1\u20090.8 pre-operatively to 0.4\u2009\u00b1\u20090.7 post-operatively (75% reduction) (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). No unexpected and severe adverse events related to the surgical procedure were reported.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Goniowash combined with cataract surgery provides stable and long-lasting reduction of intraocular pressure and hypotensive medications. It is a safe procedure and may be an alternative for patients with pseudoexfoliation syndrome and elevated intraocular pressure.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s10792-020-01459-5","type":"journal-article","created":{"date-parts":[[2020,6,26]],"date-time":"2020-06-26T16:51:39Z","timestamp":1593190299000},"page":"1563-1571","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Goniowash: a new surgical approach combined with cataract surgery to lower intraocular pressure in pseudoexfoliation syndrome"],"prefix":"10.1007","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8596-6725","authenticated-orcid":false,"given":"Tao","family":"V. 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Collaboration with Fabrinal, Switzerland in elaborating the special cannula for Goniowash technique.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}