{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T03:51:34Z","timestamp":1788925894872,"version":"build-2803163510"},"reference-count":28,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 5","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,11]]},"abstract":"\n Purpose:<\/jats:title>\n To compare the intraocular pressure (IOP)-lowering efficiency of gonioscopy-assisted transluminal trabeculotomy (GATT) and trabeculectomy (TRAB) with mitomycin C in patients with primary open-angle glaucoma (POAG) and pseudoexfoliative glaucoma (PEXG).<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n In this retrospective comparative study, consecutive patients with POAG or PEXG who underwent GATT or TRAB by a single surgeon and with a follow-up period of at least 1 year were included. Surgical success rates, change in best-corrected visual acuity, IOP, the need for antiglaucoma medication, surgical complications, and the need for additional glaucoma surgery were compared. Surgical success was defined as an IOP reduction of \u226530% or an IOP of \u226418 mmHg. Complete success was defined as without medication. Qualified success was defined as with or without topical medication.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n The mean baseline IOP was 27.4 \u00b1 8.3 and 24.6 \u00b1 7.6 mmHg (\n P<\/jats:italic>\n = 0.13) with the mean number of medications being 3.7 \u00b1 1.0 and 3.7 \u00b1 1.1 (\n P<\/jats:italic>\n = 0.98) in TRAB and GATT, respectively. At 12 months, the mean IOP was 15.3 \u00b1 3.5 and 12.5 \u00b1 4.6 mmHg (\n P<\/jats:italic>\n = 0.24) with the mean number of medications being 0.9 \u00b1 1.2 and 0.8 \u00b1 1.4 (\n P<\/jats:italic>\n = 0.76) after GATT and TRAB, respectively. IOP was lowered from baseline by 52.7% \u00b1 17.5% after TRAB and 45.7% \u00b118.6% after GATT (\n P<\/jats:italic>\n = 0.12). There was no decrease in best-corrected visual acuity in either group. The qualified surgical success rate was 94.4% in the GATT group and 94.9% in the TRAB group (\n P<\/jats:italic>\n = 0.75). Percentage of complete success was 64.1% and 52.8% (\n P<\/jats:italic>\n = 0.22) after TRAB and GATT, respectively.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n In patients with POAG and PEXG, GATT was as effective and safe as TRAB in lowering IOP and reducing the number of antiglaucomatous drugs.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/ijo.ijo_644_24","type":"journal-article","created":{"date-parts":[[2024,7,11]],"date-time":"2024-07-11T12:09:48Z","timestamp":1720699788000},"page":"S821-S826","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Efficacy of gonioscopy-assisted transluminal trabeculotomy and trabeculectomy in patients with primary open-angle glaucoma and pseudoexfoliative glaucoma: A single surgeon\u2019s experience"],"prefix":"10.4103","volume":"72","author":[{"given":"Ihsan","family":"Cakir","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Beyoglu Eye Training and Research Hospital, University of Health Sciences, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali Safa","family":"Balci","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Beyoglu Eye Training and Research Hospital, University of Health Sciences, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nese","family":"Alagoz","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Beyoglu Eye Training and Research Hospital, University of Health Sciences, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00fclay","family":"Yalcinkaya Cakir","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Beyoglu Eye Training and Research Hospital, University of Health Sciences, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cigdem","family":"Altan","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, 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