Surgical Technique: Via360 Inferior Hemi-GATT - Report - MDSpire

Surgical Technique: Via360 Inferior Hemi-GATT

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  • Conexiant News Staff

  • January 2, 2026

  • 1 min

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Clinical Report: Surgical Technique: Via360 Inferior Hemi-GATT

Overview

This report outlines the technique for performing an inferior hemi-GATT using the Via360 surgical system, highlighting its role in glaucoma management. The procedure demonstrates significant intraocular pressure reduction and medication dependency decrease in patients with open-angle glaucoma.

Background

Glaucoma remains a leading cause of irreversible blindness worldwide, necessitating effective surgical interventions. The introduction of minimally invasive glaucoma surgery (MIGS) techniques, such as the GATT, offers new avenues for managing intraocular pressure (IOP) while minimizing complications. Understanding the surgical techniques and their outcomes is essential for optimizing patient care in glaucoma management.

Data Highlights

No specific numerical data provided in the source material.

Key Findings

  • The Via360 system combines canaloplasty and trabeculotomy, enhancing surgical precision.
  • Clinical data indicate comparable success rates between 180° hemi-GATT and 360° GATT procedures.
  • Mean IOP reduction observed in both hemi-GATT and GATT procedures was approximately 4-5 mmHg.
  • Medication use decreased by 2-3 agents post-surgery in both techniques.
  • No serious adverse events reported in recent studies involving these techniques.

Clinical Implications

Surgeons should consider the Via360 system for patients requiring glaucoma surgery, as it allows for tailored treatment approaches. The comparable efficacy of hemi-GATT and GATT suggests flexibility in surgical planning based on patient-specific factors.

Conclusion

The Via360 inferior hemi-GATT technique represents a valuable addition to glaucoma surgical options, with promising outcomes in IOP management and medication reduction. Continued evaluation of its long-term efficacy and safety is warranted.

References

  1. Ophthalmology Management, 2017 -- GATT’s role in glaucoma management
  2. Glaucoma Physician, 2026 -- Via360 Expands Canal-Based MIGS Options
  3. BMC Ophthalmology, 2025 -- Efficacy and safety of 360º and 180º gonioscopy-assisted transluminal trabeculotomy
  4. European Glaucoma Society – Terminology and guidelines for glaucoma, 6th Edition | British Journal of Ophthalmology
  5. Utilizing a Combined Exoscopic and Endoscopic Oblique Technique for Accessing Parafalx Lesions via the Interhemispheric Fissure While Preserving Surrounding Structures: A Step-by-Step Guide
  6. Glaucoma Physician — Goniotome Trabecular Meshwork Excision
  7. 510(k) Premarket Notification
  8. European Glaucoma Society – Terminology and guidelines for glaucoma, 6th Edition | British Journal of Ophthalmology
  9. Efficacy and safety of 360º and 180º gonioscopy-assisted transluminal trabeculotomy in combination with phacoemulsification in patients with open-angle glaucoma: a retrospective case-control study | BMC Ophthalmology | Springer Nature Link

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