Circumferential gonioscopy-assisted transluminal trabeculotomy as first-line treatment for primary congenital glaucoma.

Gonioscopy-assisted transluminal trabeculotomy (GATT), especially suture-GATT, has been gaining acceptance widely among pediatric glaucoma surgeons because of its ability to lower intraocular pressure while treating the whole of the trabecular meshwork in a single session and its cost-effectiveness. To date, its use in congenital glaucoma patients has been discussed less in the literature, with some studies based on heterogenous populations. We report our preliminary results of suture-GATT performed in 40 eyes of a homogenous cohort of 25 primary congenital glaucoma patients.