# A Landmark Case of Childhood Glaucoma Care in Bangladesh: Gonioscopy-Assisted Transluminal Trabeculotomy in Primary Congenital Glaucoma

## TL;DR

A three-year-old Bangladeshi child with congenital glaucoma successfully underwent a new minimally invasive surgery that effectively controlled eye pressure.

## Contribution

This case demonstrates the efficacy of suture-GATT in treating pediatric glaucoma in a Bangladeshi patient.

## Key findings

- Suture-GATT achieved good intraocular pressure control in a three-year-old with bilateral PCG.
- No complications were observed six months after the suture-GATT procedure.
- The case highlights the potential of GATT as a viable treatment for childhood glaucoma in resource-limited settings.

## Abstract

Primary congenital glaucoma (PCG) is a challenging condition requiring early surgical intervention to prevent visual impairment. Gonioscopy-assisted transluminal trabeculotomy (GATT) is a novel minimally invasive procedure that presents a promising alternative for the management of childhood glaucoma, utilizing either a microcatheter or suture (e.g., 5-0 prolene). We present a case of a three-year-old male from consanguineous parents diagnosed with bilateral PCG, who underwent suture-GATT with 5-0 prolene in his left eye. A six-month postoperative follow-up showed no complications and good control of intraocular pressure (IOP) following the procedure. By showing good IOP control over a mid-term follow-up in a Bangladeshi patient, this case demonstrates the efficacy of suture-GATT in treating pediatric glaucoma.