Microcatheter-assisted trabeculotomy for the treatment of juvenile open angle glaucoma

Objective To evaluate the efficacy of microcatheter-assisted trabeculotomy for the treatment of juvenile open angle glaucoma(JOAG). Methods Retrospective case cohort series study. Clinical datas of 20 eyes of 15 cases with JOAG treated with microcatheter-assisted trabeculotomy from Apr.2017 to May 2018 at Eye Hospital Affiliated to Chengdu University of T. C.M. were collected and analysed. Results The pre-operative IOP was (33.55±10.73) mmHg (1 mmHg=0.133 kPa). The post-operative IOP decreased to(15.55±3.88)mmHg at last follow-up, and the difference was statistically significant between before and after surgery (t=9.320, P=0.000). The kinds of anti-glaucoma drugs used before surgery were 3.25±0.55 and at the last follow-up decreased to 0.80±1.32 (Z=-3.750, P=0.001). The full success rate of the last follow-up was 70.00 %(14/20) and conditional success rate was 90.00%(18/20). No severe complication occurred intraoperative and psotoperative. Conclusion Microcatheter-assisted trabeculotomy is a safe and effective for the treatment of JOAG. Key words: Glaucoma, open angle, juvenile; Trabeculotomy, microcatheter-assisted; Pressure, intraocular