Three techniques for 360-degree gonioscopy-assisted transluminal trabeculotomy with iTrack advance
Purpose: 360-degree gonioscopy-assisted transluminal trabeculotomy (GATT) is a safe and effective angle-based intervention to lower IOP. Use of the iTrack Advance allows the surgeon to efficiently advance the microcatheter in one continuous motion with a slider, an improvement upon previous techniqu...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-12-01
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| Series: | American Journal of Ophthalmology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451993624002020 |
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| author | Sean Smith Jessie Wang Shivani Kamat Arsham Sheybani Ian Patterson Mary Qiu |
| author_facet | Sean Smith Jessie Wang Shivani Kamat Arsham Sheybani Ian Patterson Mary Qiu |
| author_sort | Sean Smith |
| collection | DOAJ |
| description | Purpose: 360-degree gonioscopy-assisted transluminal trabeculotomy (GATT) is a safe and effective angle-based intervention to lower IOP. Use of the iTrack Advance allows the surgeon to efficiently advance the microcatheter in one continuous motion with a slider, an improvement upon previous techniques in which microcatheters or sutures which had to be manually threaded through Schlemm's canal with microforceps. This report demonstrates three variations in surgical technique for successful 360-degree GATT using the iTrack Advance. Observations: The first technique requires retrieval of the tip of the microcatheter and requires an assistant to hold the gonioprism. The second method also requires retrieval of the tip of the microcatheter, but does not require an assistant to hold the gonioprism. The third technique requires neither retrieval of the tip of the microcatheter nor an assistant for the gonioprism. Conclusions and Importance: The three techniques presented here allow for the completion of a 360-degree GATT using the iTrack Advance without having to manually thread a microcatheter or suture through Schlemm's canal. |
| format | Article |
| id | doaj-art-ec78a864c8bd4d0897ca916f11a61309 |
| institution | Kabale University |
| issn | 2451-9936 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj-art-ec78a864c8bd4d0897ca916f11a613092024-12-18T08:50:44ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362024-12-0136102192Three techniques for 360-degree gonioscopy-assisted transluminal trabeculotomy with iTrack advanceSean Smith0Jessie Wang1Shivani Kamat2Arsham Sheybani3Ian Patterson4Mary Qiu5Pritzker School of Medicine, University of Chicago, 924 E 57th St, Suite 104, Chicago, IL, 60637, USADepartment of Ophthalmology and Visual Science, University of Chicago, 5758 S Maryland Ave, Suite 1B, Chicago, IL, 60637, USADepartment of Ophthalmology, UT Southwestern Medical Center (UTSW), 5323 Harry Hines Blvd, Dallas, TX, 75390, USADepartment of Ophthalmology and Visual Sciences, Washington University School of Medicine in Saint Louis, 660 South Euclid Ave, Saint Louis, MO, 63110, USADepartment of Ophthalmology and Visual Science, University of Chicago, 5758 S Maryland Ave, Suite 1B, Chicago, IL, 60637, USACole Eye Institute, Cleveland Clinic, 2042 E 102nd St, Cleveland, OH, 44106, USA; Corresponding author.Purpose: 360-degree gonioscopy-assisted transluminal trabeculotomy (GATT) is a safe and effective angle-based intervention to lower IOP. Use of the iTrack Advance allows the surgeon to efficiently advance the microcatheter in one continuous motion with a slider, an improvement upon previous techniques in which microcatheters or sutures which had to be manually threaded through Schlemm's canal with microforceps. This report demonstrates three variations in surgical technique for successful 360-degree GATT using the iTrack Advance. Observations: The first technique requires retrieval of the tip of the microcatheter and requires an assistant to hold the gonioprism. The second method also requires retrieval of the tip of the microcatheter, but does not require an assistant to hold the gonioprism. The third technique requires neither retrieval of the tip of the microcatheter nor an assistant for the gonioprism. Conclusions and Importance: The three techniques presented here allow for the completion of a 360-degree GATT using the iTrack Advance without having to manually thread a microcatheter or suture through Schlemm's canal.http://www.sciencedirect.com/science/article/pii/S2451993624002020Glaucoma surgeryGonioscopy-assisted transluminal trabeculotomyOpen-angle glaucomaMinimally invasive glaucoma surgeryMicrocatheter |
| spellingShingle | Sean Smith Jessie Wang Shivani Kamat Arsham Sheybani Ian Patterson Mary Qiu Three techniques for 360-degree gonioscopy-assisted transluminal trabeculotomy with iTrack advance American Journal of Ophthalmology Case Reports Glaucoma surgery Gonioscopy-assisted transluminal trabeculotomy Open-angle glaucoma Minimally invasive glaucoma surgery Microcatheter |
| title | Three techniques for 360-degree gonioscopy-assisted transluminal trabeculotomy with iTrack advance |
| title_full | Three techniques for 360-degree gonioscopy-assisted transluminal trabeculotomy with iTrack advance |
| title_fullStr | Three techniques for 360-degree gonioscopy-assisted transluminal trabeculotomy with iTrack advance |
| title_full_unstemmed | Three techniques for 360-degree gonioscopy-assisted transluminal trabeculotomy with iTrack advance |
| title_short | Three techniques for 360-degree gonioscopy-assisted transluminal trabeculotomy with iTrack advance |
| title_sort | three techniques for 360 degree gonioscopy assisted transluminal trabeculotomy with itrack advance |
| topic | Glaucoma surgery Gonioscopy-assisted transluminal trabeculotomy Open-angle glaucoma Minimally invasive glaucoma surgery Microcatheter |
| url | http://www.sciencedirect.com/science/article/pii/S2451993624002020 |
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