{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T07:50:35Z","timestamp":1791359435819,"version":"4.3.1"},"reference-count":29,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","license":[{"start":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T00:00:00Z","timestamp":1784764800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To compare the safety and efficacy of gonioscopy-assisted transluminal trabeculotomy (GATT) combined with phacoemulsification in eyes with high myopia versus non-high myopia with open-angle glaucoma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This retrospective comparative study included 76 eyes with open-angle glaucoma. Eyes were stratified into high myopia (Group 1; axial length \u226526.5 mm, n = 36) and non-high myopia (Group 2; axial length &lt;26.5 mm, n = 40). Baseline parameters including intraocular pressure (IOP), best-corrected visual acuity, and number of anti-glaucoma medications (AGMs) were compared at 2 weeks, 1 month, and 3, 6, and 12 months. Surgical success was defined as IOP \u226421, \u226418, or \u226415 mmHg with a \u226520%, \u226525%, or \u226530% reduction from baseline, respectively. Postoperative complications, secondary interventions, and surgical risk factors were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The mean (SD) IOP (mmHg) decreased from 20.56 \u00b1 4.71 to 13.32 \u00b1 5.02 in Group 1 and 19.33 \u00b1 4.15 to 12.94 \u00b1 3.48 in Group 2 at 12 months, with no significant difference between groups (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.92). AGM reduced from 2.11 \u00b1 0.89 to 0.36 \u00b1 0.95 in Group 1 and 1.98 \u00b1 0.89 to 0.06 \u00b1 0.24 in Group 2 at 12 months (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.07). There was no significant difference in success rate between groups by all criteria at the end of 12 months (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.77, 0.54, 0.14). Transient hyphema and IOP spikes were common complications. Five eyes required anterior chamber wash (3 in Group 1, 2 in Group 2).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>GATT with phacoemulsification is a safe and effective procedure in high myopia with open-angle glaucoma, with comparable outcomes to non-high myopia eyes at 12 months.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_3349_25","type":"journal-article","created":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T12:00:35Z","timestamp":1784894435000},"page":"1497-1502","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Gonioscopy-assisted transluminal trabeculotomy with phacoemulsification in high myopia versus non-high myopia with open-angle glaucoma\u2014A comparative study"],"prefix":"10.4103","volume":"74","author":[{"given":"Devendra","family":"Maheshwari","sequence":"first","affiliation":[{"name":"Department of Glaucoma, Aravind Eye Hospital and PG Institute of Ophthalmology, Tirunelveli, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nimrita Gyanchand","family":"Nagdev","sequence":"additional","affiliation":[{"name":"Department of Glaucoma, Aravind Eye Hospital and PG Institute of Ophthalmology, Tirunelveli, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madhavi R","family":"Pillai","sequence":"additional","affiliation":[{"name":"Department of Glaucoma, Aravind Eye Hospital and PG Institute of Ophthalmology, Tirunelveli, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramarghya","family":"Chakraborty","sequence":"additional","affiliation":[{"name":"Department of Glaucoma, Aravind Eye Hospital and PG Institute of Ophthalmology, Tirunelveli, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed Sithiq","family":"Uduman","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, Aravind Eye Hospital and PG Institute of Ophthalmology, Tirunelveli, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Syril","family":"Dorairaj","sequence":"additional","affiliation":[{"name":"Department of Glaucoma, Mayo Clinic, Jacksonville, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramakrishnan","family":"Rengappa","sequence":"additional","affiliation":[{"name":"Department of Glaucoma, Aravind Eye Hospital and PG Institute of Ophthalmology, Tirunelveli, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,7,23]]},"reference":[{"key":"R1-20261007","first-page":"61","article-title":"Glaucoma in myopic 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