Incidence of Descemet Membrane Detachment Post GATT by AS OCT

Study Overview
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Brief Summary
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detection of Incidence of Descemet membrane detachment post gonioscopy-assisted transluminal trabeculotomy by anterior segment optical coherence tomography in patients with open angle glaucoma.

Detailed Description
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In our study, which should include 30 eyes with OAG who underwent 360 GATT Screening for Descemet Membrane Detachment will be done by Anterior Segment Optical coherence Tomography using SD-OCT: Optovue RTVue (Optovue Inc., Fremont, CA, USA) for the angle day 1 post operative for all patients and 1 week post operative in cases with Descemet membrane detachment to check for spontaneous resolution. One month post-operative the patients underwent Best corrected visual acuity (BCVA) using decimal. IOP measurement using GAT.

Official Title
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Incidence of Descemet Membrane Detachment Post Gonioscopy-Assisted Transluminal Trabeculotomy by Anterior Segment Optical Coherence Tomography in Patients With Open Angle Glaucoma

Conditions
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Angle Glaucoma Open

Intervention / Treatment
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* Procedure: Gonioscopy-Assisted Transluminal Trabeculotomy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age 18 - 70 years. Patients with open angle glaucoma undergoing gonioscopy assisted transluminal trabeculotomy. Exclusion Criteria: Patients with with open angle glaucoma and aphakia. Patients with Congenital Glaucoma. Patients with open angle glaucoma undergoing phaco -gonioscopy-assisted transluminal trabeculotomy. Patients with neovascular glaucoma. Patients with pigmentary Glaucoma.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Diagnostic
Intervention Model: Single Group Assignment
Interventional Model Description: detection of incidence of Descemet membrane detachment post gonioscopy-assisted transluminal trabeculotomy by anterior segment optical coherence tomography in patients with open angle glaucoma.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: GATT group<br>detection of incidence of Descemet membrane detachment post gonioscopy-assisted transluminal trabeculotomy by anterior segment optical coherence tomography in patients with open angle glaucoma. | Procedure: Gonioscopy-Assisted Transluminal Trabeculotomy<br>* Ab interno angle surgery one of MIGS to lower IOP<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Incidence of Descemet Membrane detachment post GATT | Incidence of Descemet membrane Detachment post Gonioscopy-Assisted Transluminal Trabeculotomy | 4 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Amount of reduction of IOP and Glaucoma NGM | Amount of reduction of intraocular pressure and Number of Glaucoma medications | 4 months | 
| Incidence of Hyphema post GATT | Incidence of Hyphema post Gonioscopy-Assisted Transluminal Trabeculotomy | 4 months | 
| Incidence of Descemet membrane detachment post gonioscopy-assisted transluminal trabeculotomy by anterior segment optical coherence tomography in patients with open angle glaucoma. | Incidence of Descemet membrane detachment post gonioscopy-assisted transluminal trabeculotomy by anterior segment optical coherence tomography in patients with open angle glaucoma. | 4 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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gonioscopy-assisted transluminal trabeculotomy, Descemet membrane detachment