Abstract
In patients with both cataract and glaucoma, the ophthalmologist may choose to treat both conditions in the same operative encounter. Combined cataract extraction, IOL implantation, and gonioscopy-assisted transluminal trabeculotomy (GATT) offers the patient visual rehabilitation, better control of glaucoma, and the benefit of not having to return to the OR for a second procedure. GATT is a minimally invasive glaucoma surgery (MIGS) that allows for the removal of a portion of trabecular meshwork, which is the site of outflow resistance in primary open-angle glaucoma. Avoiding a filtering procedure prevents the known serious complications associated with blebs. However, it is recommended to avoid GATT in patients on anticoagulation that cannot be reversed preoperatively.
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Ahmed, I.K., Schlenker, M.B., Ong, J.A. (2021). Cataract Extraction and Gonioscopy-Assisted Transluminal Trabeculotomy. In: Rosenberg, E.D., Nattis, A.S., Nattis, R.J. (eds) Operative Dictations in Ophthalmology. Springer, Cham. https://doi.org/10.1007/978-3-030-53058-7_50
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DOI: https://doi.org/10.1007/978-3-030-53058-7_50
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