Online Articles: Case Report/Small Case SeriesGonioscopy-assisted Transluminal Trabeculotomy in Uveitic Glaucoma Secondary to Juvenile Idiopathic ArthritisSachdev, Amun BMBCh, MA(Oxon), FRCOphth*; Khalili, Ashkan MD, PhD, FRCOphth*; Choi, Jessy MBChB, FRCOphth†; Stead, Richard E. MBChB, FRCOphth‡; Sung, Velota C.T. FRCS(Ed), FRCOphth, MSc(Warwick)*Author Information *Birmingham and Midland Eye Centre, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham †Sheffield Children Hospital and Sheffield Teaching Hospitals, Sheffield ‡Nottingham University Hospitals NHS Trust, Nottingham, UK Disclosure: The authors declare no conflict of interest. Reprints: Velota C.T. Sung, FRCS(Ed), FRCOphth, MSc(Warwick), Birmingham and Midland Eye Centre, Sandwell and West Birmingham Hospitals NHS Trust, Dudley Road, Birmingham B18 7QH, UK (e-mail: email@example.com). Journal of Glaucoma: October 2020 - Volume 29 - Issue 10 - p e116-e119 doi: 10.1097/IJG.0000000000001641 Buy SDC Metrics Abstract Gonioscopy-assisted transluminal trabeculotomy (GATT) is a minimally invasive ab interno procedure, performed with guidance of an illuminating microcatheter device (iTrack). The pathophysiology of raised intraocular pressure (IOP) in uveitic glaucoma is commonly due to increased resistance at the trabecular meshwork-Schlemm canal. By removing this resistance, GATT can potentially control the IOP. In addition, the ab interno approach avoids violating the conjunctiva and reduces the risk of complications including infection, leak, and hypotony. In this series, we discuss 3 uveitic glaucoma cases secondary to juvenile idiopathic arthritis (JIA) that underwent GATT. Case 1 was a 16-year-old phakic female with a preoperative IOP of 25 to 33 mm Hg had 360-degree GATT; her IOP remained stable at 6 to 10 mm Hg over 14 months. Case 2 was a 23-year-old pseudophakic female with a preoperative IOP of 28 to 34 mm Hg had 180-degree GATT; her IOP reduced to 8 mm Hg over 10 months. Case 3 was an 8-year-old aphakic male with a preoperative IOP of 21 to 32 mm Hg had 360-degree GATT; his IOP remained stable at 13 to 15 mm Hg over 21 months. In our limited case series, GATT is very successful in controlling IOP in young uveitic patients with JIA by surgically targeting the underlying pathophysiology. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.