Iqbal Md Iftekher, Osman Fariah
Department of Ophthalmology, Bangladesh Eye Hospital, Dhaka, BGD.
Cureus. 2025 Feb 23;17(2):e79492. doi: 10.7759/cureus.79492. eCollection 2025 Feb.
Primary congenital glaucoma (PCG) is a challenging condition requiring early surgical intervention to prevent visual impairment. Gonioscopy-assisted transluminal trabeculotomy (GATT) is a novel minimally invasive procedure that presents a promising alternative for the management of childhood glaucoma, utilizing either a microcatheter or suture (e.g., 5-0 prolene). We present a case of a three-year-old male from consanguineous parents diagnosed with bilateral PCG, who underwent suture-GATT with 5-0 prolene in his left eye. A six-month postoperative follow-up showed no complications and good control of intraocular pressure (IOP) following the procedure. By showing good IOP control over a mid-term follow-up in a Bangladeshi patient, this case demonstrates the efficacy of suture-GATT in treating pediatric glaucoma.
原发性先天性青光眼（PCG）是一种具有挑战性的疾病，需要早期手术干预以防止视力损害。前房角镜辅助腔内小梁切开术（GATT）是一种新型的微创手术，对于儿童青光眼的治疗是一种有前景的替代方法，可使用微导管或缝线（如5-0聚丙烯缝线）。我们报告一例来自近亲结婚父母的3岁男性，被诊断为双侧PCG，其左眼接受了使用5-0聚丙烯缝线的缝线-GATT手术。术后6个月的随访显示该手术无并发症，眼压（IOP）得到良好控制。通过在一名孟加拉国患者的中期随访中显示出良好的眼压控制，本病例证明了缝线-GATT治疗儿童青光眼的疗效。
