Comparison of Outcomes at 6 Months between Sectoral Goniotomy and Gonioscopy-assisted Transluminal Trabeculotomy Combined with Cataract Surgery in Primary Open-angle Glaucoma

Historically, the first-line therapeutic approach to intraocular pressure (IOP) lowering in glaucoma management has involved topical IOP-lowering medications followed by adjunctive selective laser trabeculoplasty (SLT).If these treatments proved ineffective, therapy would escalate to more invasive procedures such as trabeculectomy and drainage devices.Adherence to topical IOPlowering therapy is notably poor, with adherence estimated to be as low as 20% in patients with glaucoma.1,2 One major factor for poor medication adherence is the high out-of-pocket costs for topical medications.3 Poor adherence to glaucoma medications is linked to a stepwise decline in mean deviation on visual fields.4 It is now well-established that SLT can and should be offered as first-line therapy.5,6 Additionally, microinvasive glaucoma surgeries (MIGS) have emerged as a bridge between medical or laser therapy and more invasive surgical interventions, targeting various pathways-trabecular, subconjunctival, suprachoroidal, or ciliary body outflow-with minimal tissue disruption, a high