Офтальмохирургия. 2021; : 77-82
Современный взгляд на использование гониоассоцированной трабекулотомии
https://doi.org/10.25276/0235-4160-2021-3-77-82Аннотация
Цель. Предоставить данные об использование гониоассоциированной транслюминальной трабекулотомии (gonioscopy-assisted transluminal trabeculotomy – GATT), отражающие ее эффективностьи безопасность при применении данной техники у различных моделей пациентов. Материал и методы. Для выполнения обзора был осущaествлен поиск источников литературы по реферативным базам PubMed и Scopus за период до 2021 г. включительно, с использованием ключевых слов «gonioassociated trabeculotomy», «minimally invasive glaucoma surgery», «primary open-angle glaucoma», «glaucoma», «secondary glaucoma». Всего было отобрано 19 статей, относящихся к теме обзора. Начало публикаций по этой теме – 2013 г. Результаты. GATT может применяться на различных стадиях глаукомы, но в то же время максимальный эффект снижения внутриглазного давления (ВГД) достигается у пациентов на начальной или средней стадии глаукомы. Также хорошие результаты по применению методики GATT после витреоретинальной хирургии отмечены при развитии вторичной глаукомы или офтальмогипертензии. Одним из преимуществ GATT является то, что все манипуляции выполняются в передней камере, что, в свою очередь, дает возможность при необходимости проведения реоперации после неудачной трабекулотомии ad-externo без повторной травматизации склеры и конъюнктивы. Стоит отметить, что основным осложнением во всех исследованиях является гифема, которая полностью расcасывается в течение нескольких дней. Заключение. На основании данных исследований можно заключить, что предложенная методика GATT является актуальной и отвечает всем современным стандартам малоинвазивной хирургии глаукомы (Minimally Invasive Glaucoma Surgery – MIGS): микроразрез, минимальная травматизация; способна эффективно снижать ВГД, имеет высокий уровень безопасности и быстрое восстановление.
Список литературы
1. Ansari E. An update on implants for minimally invasive glaucoma surgery (MIGS). Ophthalmol Ther. 2017;6(2): 233–241. doi: 10.1007/s40123-017-0098-2
2. Fellman RL, Mattox C, Singh K, Flowers B, Francis BA, Robin AL, Butler MR, Shah MM, Giaconi JA, Sheybani A, Song BJ, Stein JD. American glaucoma society position paper: microinvasive glaucoma surgery. Ophthalmol Glaucoma. 2020;3(1): 1–6. doi: 10.1016/j.ogla.2019.12.003
3. Saheb H, Ahmed II. Micro-invasive glaucoma surgery: current perspectives and future directions. Curr Opin Ophthalmol. 2012;23(2): 96–104. doi: 10.1097/ICU.0b013e32834ff1e7
4. Grover DS, Godfrey DG, Smith O, Feuer WJ, Montes de Oca I, Fellman RL. Gonioscopy-assisted transluminal trabeculotomy, ab interno trabeculotomy: technique report and preliminary results. Ophthalmology. 2014;121(4): 855–861. doi: 10.1016/j.ophtha.2013.11.001
5. Grover DS, Smith O, Fellman RL, Godfrey DG, Gupta A, Montes de Oca I, Feuer WJ. Gonioscopy-assisted Transluminal Trabeculotomy: An ab interno circumferential trabeculotomy: 24 monthsf-up. J Glaucoma. 2018;27(5): 393–401. doi: 10.1097/IJG.0000000000000956
6. Takihara Y, Inatani M, Ogata-Iwao M, Kawai M, Inoue T, Iwao K, Tanihara H. Trabeculectomy for open-angle glaucoma in phakic eyes vs in pseudophakic eyes after phacoemulsification: a prospective clinical cohort study. JAMA Ophthalmol. 2014;132(1): 69–76. doi: 10.1001/jamaophthalmol.2013.5605
7. Quan AV, Yannuzzi NA, Chen J, Wang YE, Townsend JH, Chang TC. Gonioscopyassisted transluminal trabeculotomy (GATT) in patients with secondary open-angle glaucoma following vitreoretinal surgery. J Glaucoma. 2020;29(4): e23–e25. doi: 10.1097/IJG.0000000000001461
8. Cubuk MO, Ucgul AY, Unsal E. Gonioscopy-assisted transluminal trabeculotomy as an option after failed trabeculectomy. Int Ophthalmol. 2020;40(8): 1923–1930. doi: 10.1007/s10792-020-01364-x
9. Guo CY, Qi XH, Qi JM. Systematic review and meta-analysis of treating open angle glaucoma with gonioscopy-assisted transluminal trabeculotomy. Int J Ophthalmol. 2020;13(2): 317–324. doi: 10.18240/ijo.2020.02.17
10. Chin S, Nitta T, Shinmei Y, Aoyagi M, Nitta A, Ohno S, Ishida S, Yoshida K. Reduction of intraocular pressure using a modified 360-degree suture trabeculotomy technique in primary and secondary open-angle glaucoma: a pilot study. J Glaucoma. 2012;21(6): 401–407. doi: 10.1097/IJG.0b013e318218240c
11. Girkin CA, Marchase N, Cogen MS. Circumferential trabeculotomy with an illuminated microcatheter in congenital glaucomas. J Glaucoma. 2012;21(3): 160– 163. doi: 10.1097/IJG.0b013e31822af350
12. Aktas Z, Ucgul AY, Bektas C, Sahin Karamert S. Surgical outcomes of prolene gonioscopy-assisted transluminal trabeculotomy in patients with moderate to advanced open-angle glaucoma. J Glaucoma. 2019 Oct;28(10): 884–888. doi: 10.1097/IJG.0000000000001331
13. Janz NK, Wren PA, Lichter PR, Musch DC, Gillespie BW, Guire KE. Quality of life in newly diagnosed glaucoma patients: the collaborative initial glaucoma treatment study. Ophthalmology. 2001;108(5): 887–898. doi: 10.1016/s0161-6420(00)00624-2
14. Bar-David L, Blumenthal EZ. Evolution of glaucoma surgery in the last 25 years. Rambam Maimonides Med J. 2018;9(3): e0024. doi: 10.5041/RMMJ.10345
15. Smith R. A new technique for opening the canal of Schlemm. Preliminary report. Br J Ophthalmol. 1960;44(6): 370–373. doi: 10.1136/bjo.44.6.370
16. Mastropasqua L, Agnifili L, Mastropasqua R, Fasanella V. Conjunctival modifications induced by medical and surgical therapies in patients with glaucoma. Curr Opin Pharmacol. 2013;13(1): 56–64. doi: 10.1016/j.coph.2012.10.002
17. Junoy Montolio FG, Müskens RPHM, Jansonius NM. Influence of glaucoma surgery on visual function: a clinical cohort study and meta-analysis. Acta Ophthalmol. 2019;97: 193–199. doi: 10.1111/aos.13920
18. Grover DS, Smith O, Fellman RL. Gonioscopy assisted transluminal trabeculotomy: an Ab interno circumferential trabeculotomy for the treatment of primary congenital glaucoma and juvenile open angle glaucoma. Br J Ophthalmol. 2015;99: 1092–1096. doi: 10.1136/bjophthalmol-2014-306269
19. Grover DS, Godfrey DG, Smith O, Shi W, Feuer WJ, Fellman RL. Outcomes of gonioscopy-assisted transluminal trabeculotomy (GATT) in eyes with prior incisional glaucoma surgery. J Glaucoma. 2017;26(1): 41–45. doi: 10.1097/IJG.0000000000000564
Fyodorov Journal of Ophthalmic Surgery. 2021; : 77-82
Modern view of using gonioassociated trabeculotomy
https://doi.org/10.25276/0235-4160-2021-3-77-82Abstract
Purpose. Provide data on the use of gonioscopy-assisted transluminal trabeculotomy (GATT), reflecting its effectiveness and safety when using this technique in various patient models. Material and methods. To perform the review, literature sources which were searched through the PubMed and Scopus databases up to and including 2021, using the keywords “gonioassociated trabeculotomy”, “minimally invasive glaucoma surgery”, “primary open-angle glaucoma”, “glaucoma”, “secondary glaucoma”. A total of 19 articles related to the topic of the review were selected. The beginning of publications on this topic dates back to 2013. Results. GATT can be used at various stages of glaucoma, but at the same time, the maximum effect of lowering intraocular pressure (IOP) is achieved in patients with an early or middle stage of glaucoma. There are also good results of using the GATT technique after vitreoretinal surgery, with the development of secondary glaucoma or ophthalmic hypertension. One of the advantages of GATT is that all manipulations are performed in the anterior chamber, which in turn makes it possible, if necessary, to perform reoperation after an unsuccessful ad-externo trabeculotomy without re-traumatizing the sclera and conjunctiva. It should be noted that the main complication in all studies is the hyphema, which is completely absorbed within a few days. Conclusion. Based on these studies, it can be concluded that the proposed GATT technique is relevant, and meets all modern standards of minimally invasive glaucoma surgery (MIGS): micro-incision, minimal trauma, is able to effectively reduce IOP, has a high level of safety and quick recovery.
References
1. Ansari E. An update on implants for minimally invasive glaucoma surgery (MIGS). Ophthalmol Ther. 2017;6(2): 233–241. doi: 10.1007/s40123-017-0098-2
2. Fellman RL, Mattox C, Singh K, Flowers B, Francis BA, Robin AL, Butler MR, Shah MM, Giaconi JA, Sheybani A, Song BJ, Stein JD. American glaucoma society position paper: microinvasive glaucoma surgery. Ophthalmol Glaucoma. 2020;3(1): 1–6. doi: 10.1016/j.ogla.2019.12.003
3. Saheb H, Ahmed II. Micro-invasive glaucoma surgery: current perspectives and future directions. Curr Opin Ophthalmol. 2012;23(2): 96–104. doi: 10.1097/ICU.0b013e32834ff1e7
4. Grover DS, Godfrey DG, Smith O, Feuer WJ, Montes de Oca I, Fellman RL. Gonioscopy-assisted transluminal trabeculotomy, ab interno trabeculotomy: technique report and preliminary results. Ophthalmology. 2014;121(4): 855–861. doi: 10.1016/j.ophtha.2013.11.001
5. Grover DS, Smith O, Fellman RL, Godfrey DG, Gupta A, Montes de Oca I, Feuer WJ. Gonioscopy-assisted Transluminal Trabeculotomy: An ab interno circumferential trabeculotomy: 24 monthsf-up. J Glaucoma. 2018;27(5): 393–401. doi: 10.1097/IJG.0000000000000956
6. Takihara Y, Inatani M, Ogata-Iwao M, Kawai M, Inoue T, Iwao K, Tanihara H. Trabeculectomy for open-angle glaucoma in phakic eyes vs in pseudophakic eyes after phacoemulsification: a prospective clinical cohort study. JAMA Ophthalmol. 2014;132(1): 69–76. doi: 10.1001/jamaophthalmol.2013.5605
7. Quan AV, Yannuzzi NA, Chen J, Wang YE, Townsend JH, Chang TC. Gonioscopyassisted transluminal trabeculotomy (GATT) in patients with secondary open-angle glaucoma following vitreoretinal surgery. J Glaucoma. 2020;29(4): e23–e25. doi: 10.1097/IJG.0000000000001461
8. Cubuk MO, Ucgul AY, Unsal E. Gonioscopy-assisted transluminal trabeculotomy as an option after failed trabeculectomy. Int Ophthalmol. 2020;40(8): 1923–1930. doi: 10.1007/s10792-020-01364-x
9. Guo CY, Qi XH, Qi JM. Systematic review and meta-analysis of treating open angle glaucoma with gonioscopy-assisted transluminal trabeculotomy. Int J Ophthalmol. 2020;13(2): 317–324. doi: 10.18240/ijo.2020.02.17
10. Chin S, Nitta T, Shinmei Y, Aoyagi M, Nitta A, Ohno S, Ishida S, Yoshida K. Reduction of intraocular pressure using a modified 360-degree suture trabeculotomy technique in primary and secondary open-angle glaucoma: a pilot study. J Glaucoma. 2012;21(6): 401–407. doi: 10.1097/IJG.0b013e318218240c
11. Girkin CA, Marchase N, Cogen MS. Circumferential trabeculotomy with an illuminated microcatheter in congenital glaucomas. J Glaucoma. 2012;21(3): 160– 163. doi: 10.1097/IJG.0b013e31822af350
12. Aktas Z, Ucgul AY, Bektas C, Sahin Karamert S. Surgical outcomes of prolene gonioscopy-assisted transluminal trabeculotomy in patients with moderate to advanced open-angle glaucoma. J Glaucoma. 2019 Oct;28(10): 884–888. doi: 10.1097/IJG.0000000000001331
13. Janz NK, Wren PA, Lichter PR, Musch DC, Gillespie BW, Guire KE. Quality of life in newly diagnosed glaucoma patients: the collaborative initial glaucoma treatment study. Ophthalmology. 2001;108(5): 887–898. doi: 10.1016/s0161-6420(00)00624-2
14. Bar-David L, Blumenthal EZ. Evolution of glaucoma surgery in the last 25 years. Rambam Maimonides Med J. 2018;9(3): e0024. doi: 10.5041/RMMJ.10345
15. Smith R. A new technique for opening the canal of Schlemm. Preliminary report. Br J Ophthalmol. 1960;44(6): 370–373. doi: 10.1136/bjo.44.6.370
16. Mastropasqua L, Agnifili L, Mastropasqua R, Fasanella V. Conjunctival modifications induced by medical and surgical therapies in patients with glaucoma. Curr Opin Pharmacol. 2013;13(1): 56–64. doi: 10.1016/j.coph.2012.10.002
17. Junoy Montolio FG, Müskens RPHM, Jansonius NM. Influence of glaucoma surgery on visual function: a clinical cohort study and meta-analysis. Acta Ophthalmol. 2019;97: 193–199. doi: 10.1111/aos.13920
18. Grover DS, Smith O, Fellman RL. Gonioscopy assisted transluminal trabeculotomy: an Ab interno circumferential trabeculotomy for the treatment of primary congenital glaucoma and juvenile open angle glaucoma. Br J Ophthalmol. 2015;99: 1092–1096. doi: 10.1136/bjophthalmol-2014-306269
19. Grover DS, Godfrey DG, Smith O, Shi W, Feuer WJ, Fellman RL. Outcomes of gonioscopy-assisted transluminal trabeculotomy (GATT) in eyes with prior incisional glaucoma surgery. J Glaucoma. 2017;26(1): 41–45. doi: 10.1097/IJG.0000000000000564
