{"title":"经腔镜辅助小梁切开术治疗角退缩型青光眼1例。","authors":"Abdullah Bin Hemid, Basel M Alsolami","doi":"10.1155/crop/4075105","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>We report a case of angle recession glaucoma (ARG) in a 15-year-old male following blunt ocular trauma, managed with gonioscopy-assisted transluminal trabeculotomy (GATT).</p><p><strong>Case presentation: </strong>Despite maximal medical therapy, intraocular pressure (IOP) remained uncontrolled. Gonioscopy revealed approximately 5 clock hours of superior angle recession. The patient underwent GATT, which resulted in an immediate postoperative reduction in IOP, complicated by transient hyphema. At 1 year follow-up, the patient achieved stable IOP (12 mmHg) without anti-glaucoma medications, full visual recovery (20/20), and complete resolution of hyphema.</p><p><strong>Conclusion: </strong>This case highlights the potential role of GATT as an effective, minimally invasive surgical option for managing ARG.</p>","PeriodicalId":9603,"journal":{"name":"Case Reports in Ophthalmological Medicine","volume":"2026 ","pages":"4075105"},"PeriodicalIF":0.4000,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13128977/pdf/","citationCount":"0","resultStr":"{\"title\":\"Gonioscopy-Assisted Transluminal Trabeculotomy in Angle Recession Glaucoma: A Case Report.\",\"authors\":\"Abdullah Bin Hemid, Basel M Alsolami\",\"doi\":\"10.1155/crop/4075105\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>We report a case of angle recession glaucoma (ARG) in a 15-year-old male following blunt ocular trauma, managed with gonioscopy-assisted transluminal trabeculotomy (GATT).</p><p><strong>Case presentation: </strong>Despite maximal medical therapy, intraocular pressure (IOP) remained uncontrolled. Gonioscopy revealed approximately 5 clock hours of superior angle recession. The patient underwent GATT, which resulted in an immediate postoperative reduction in IOP, complicated by transient hyphema. At 1 year follow-up, the patient achieved stable IOP (12 mmHg) without anti-glaucoma medications, full visual recovery (20/20), and complete resolution of hyphema.</p><p><strong>Conclusion: </strong>This case highlights the potential role of GATT as an effective, minimally invasive surgical option for managing ARG.</p>\",\"PeriodicalId\":9603,\"journal\":{\"name\":\"Case Reports in Ophthalmological Medicine\",\"volume\":\"2026 \",\"pages\":\"4075105\"},\"PeriodicalIF\":0.4000,\"publicationDate\":\"2026-04-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13128977/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Case Reports in Ophthalmological Medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1155/crop/4075105\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2026/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q4\",\"JCRName\":\"OPHTHALMOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Case Reports in Ophthalmological Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1155/crop/4075105","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/1/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}
Gonioscopy-Assisted Transluminal Trabeculotomy in Angle Recession Glaucoma: A Case Report.
Introduction: We report a case of angle recession glaucoma (ARG) in a 15-year-old male following blunt ocular trauma, managed with gonioscopy-assisted transluminal trabeculotomy (GATT).
Case presentation: Despite maximal medical therapy, intraocular pressure (IOP) remained uncontrolled. Gonioscopy revealed approximately 5 clock hours of superior angle recession. The patient underwent GATT, which resulted in an immediate postoperative reduction in IOP, complicated by transient hyphema. At 1 year follow-up, the patient achieved stable IOP (12 mmHg) without anti-glaucoma medications, full visual recovery (20/20), and complete resolution of hyphema.
Conclusion: This case highlights the potential role of GATT as an effective, minimally invasive surgical option for managing ARG.
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