Lehmann-Clarke Lydia, Sadeghi Yalda, Guarnieri Adriano, Sharkawi Eamon
Swiss Eye Centre, Avenue de Rumine 64, 1005, Lausanne, Switzerland.
Jules Gonin Eye Hospital, Avenue de France 15, 1002, Lausanne, Switzerland.
Am J Ophthalmol Case Rep. 2020 May 8;19:100733. doi: 10.1016/j.ajoc.2020.100733. eCollection 2020 Sep.
To describe our experience of Gonioscopy-Assisted Transluminal Trabeculotomy (GATT) in four eyes with infantile primary congenital glaucoma (PCG).
We report the first two GATT procedures performed in six-month-old infants with PCG. We also report the same procedure in two eyes of a two-year-old boy with PCG who had previous goniotomies with subsequent peripheral anterior synechiae formation. In all four eyes, the IOP remained under 20 mmHg at years three and four postoperatively, without glaucoma medication or conjunctival surgery.
Our cases confirm that GATT is an alternative to traditional ab externo glaucoma surgery in PCG and can be successfully performed within the first months of life, or in infants with failed or partially functioning goniotomies, avoiding the need for invasive conjunctival or scleral surgery.
描述我们在4例婴儿原发性先天性青光眼（PCG）眼中进行房角镜辅助经腔小梁切开术（GATT）的经验。
我们报告了在6个月大的PCG婴儿中进行的前两例GATT手术。我们还报告了一名2岁患有PCG的男孩的两只眼睛进行的相同手术，该男孩之前接受过前房角切开术，随后出现周边前粘连。在所有4只眼中，术后3年和4年眼压保持在20 mmHg以下，无需使用青光眼药物或进行结膜手术。
我们的病例证实，GATT是PCG传统外路青光眼手术的一种替代方法，可以在生命的最初几个月内成功进行，或者用于前房角切开术失败或部分有效的婴儿，避免了侵入性结膜或巩膜手术的需要。
