{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:27:34Z","timestamp":1792787254349,"version":"4.5.0"},"reference-count":43,"publisher":"BMJ","funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82371058"],"award-info":[{"award-number":["82371058"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82571203"],"award-info":[{"award-number":["82571203"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Clinical Research Fund of Nanfang Hospital, Southern Medical University","award":["2025CR009"],"award-info":[{"award-number":["2025CR009"]}],"id":[{"id":"https:\/\/ror.org\/01vjw4z39","id-type":"ROR","asserted-by":"crossref"}]},{"name":"Qingdao Science and Technology Demonstration Program for the Benefit of the People","award":["24-1-8-smjk-16-nsh2023-09-27"],"award-info":[{"award-number":["24-1-8-smjk-16-nsh2023-09-27"]}]},{"name":"Guangdong Basic Research Center of Excellence for Major Blinding Eye Diseases Prevention and Treatment","award":["2024-PIZC-016"],"award-info":[{"award-number":["2024-PIZC-016"]}]},{"name":"Guangzhou Regional Clinical High-Tech Project","award":["2026P-GX005"],"award-info":[{"award-number":["2026P-GX005"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Br J Ophthalmol"],"accepted":{"date-parts":[[2026,9,15]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the effect of goniotomy (GT) arc size on efficacy and safety in juvenile open-angle glaucoma (JOAG).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This prospective, comparative, multicentre study enrolled 98 patients (126 eyes) with JOAG from 19 Chinese institutions. Patients who underwent GT were categorised into three groups based on the arc size of the incision: (1) 120\u00b0 GT, (2) 240\u00b0 GT and (3) 360\u00b0 GT. Outcomes included intraocular pressure (IOP), surgical success rates, medication use and complications. Success was defined as postoperative IOP \u226421\u2009mm Hg without (complete) or with (qualified) medications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Mean patient age was 22.9\u00b18.7 years. At 12 months postoperatively, complete success rates were comparable between the 240\u00b0 GT (55.3%) and the 360\u00b0 GT (64.7%) (p=0.447), and both were superior to the 120\u00b0 GT (13.3%) (both p&lt;0.001). Qualified success rates in the 120\u00b0 GT, 240\u00b0 GT and 360\u00b0 GT groups were 80.0%, 93.6% and 91.2%, respectively, with no statistically significant difference (p=0.302). The 360\u00b0 group required fewer medications than the other two groups at 6 months (both p&lt;0.001), with no difference at 12 months (p=0.234). Hyphema was the most common complication, occurring more frequently in the 360\u00b0 group (64.7%) than in the 240\u00b0 (34.0%) and 120\u00b0 (31.1%) groups (p=0.003).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>240\u00b0 GT and 360\u00b0 GT demonstrated comparable efficacy, both superior to 120\u00b0 GT. 240\u00b0 GT showed similar observed efficacy to 360\u00b0 GT, along with procedural simplicity, fewer complications and no consumable use for JOAG; these findings warrant validation in randomised studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bjo-2026-330493","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T17:20:25Z","timestamp":1790616025000},"page":"bjo-2026-330493","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Influence of goniotomy incisional arc size on its efficacy and safety in juvenile open-angle glaucoma: a prospective multicentre study"],"prefix":"10.1136","author":[{"given":"Zhixuan","family":"Wang","sequence":"first","affiliation":[{"name":"State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-Sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou, Guangdong, People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zefeng","family":"Yang","sequence":"additional","affiliation":[{"name":"State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-Sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou, Guangdong, People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qingshu","family":"Ge","sequence":"additional","affiliation":[{"name":"Eye Institute of Shandong First Medical University, Qingdao Eye Hospital of Shandong First Medical University, State Key Laboratory Cultivation Base, Shandong Key Laboratory of Eye Diseases, School of Ophthalmology, Shandong First Medical University, Qingdao, Shandong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peijie","family":"Lin","sequence":"additional","affiliation":[{"name":"Shenzhen Eye Hospital, Jinan University, Shenzhen Eye Institute, Shenzhen, Guangdong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuhan","family":"Feng","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, 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