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12-Month Outcomes of Goniotomy Performed Using the Kahook Dual Blade Combined with Cataract Surgery in Eyes with Medically Treated Glaucoma
- Source :
- Advances in Therapy
- Publication Year :
- 2018
-
Abstract
- Introduction To describe the 12-month efficacy and safety of goniotomy performed using the Kahook Dual Blade (KDB) in combination with cataract surgery in eyes with medically treated open-angle glaucoma (OAG). Methods This was a prospective, interventional case series conducted at seven centers in North America. Consecutive patients with medically treated OAG and visually significant cataract underwent phacoemulsification combined with goniotomy (PE + goniotomy) using KDB. Indications for glaucoma surgery included reduction of intraocular pressure (IOP) and reduction of IOP-lowering medications. De-identified data were collected and included pre-, intra-, and postoperative data on IOP, the use of IOP-lowering medications, and adverse events through 12 months of follow-up. Results Among 52 eyes undergoing surgery, mean IOP was reduced from 16.8 ± 0.6 mmHg at baseline to 12.4 ± 0.3 mmHg at month 12 (P 10 mmHg (n = 2, 3.8%). Conclusion PE + goniotomy using the KDB significantly lowers both IOP and dependence on IOP-lowering medications in eyes with OAG. Adverse events were not sight-threatening and typically resolved spontaneously. Funding New World Medical, Inc.
- Subjects :
- Intraocular pressure
medicine.medical_specialty
genetic structures
medicine.medical_treatment
Pharmacology toxicology
Visual Acuity
Glaucoma
Trabeculectomy
Cataract surgery
03 medical and health sciences
0302 clinical medicine
Internal medicine
Ophthalmology
medicine
Glaucoma surgery
Humans
Pharmacology (medical)
Case Series
Postoperative Period
Prospective Studies
Trabecular meshwork
Adverse effect
Phacoemulsification
business.industry
Micro-incisional glaucoma surgery
General Medicine
medicine.disease
Rheumatology
eye diseases
Micro-invasive glaucoma surgery
Treatment Outcome
030221 ophthalmology & optometry
Goniotomy
sense organs
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 18658652
- Volume :
- 35
- Issue :
- 9
- Database :
- OpenAIRE
- Journal :
- Advances in therapy
- Accession number :
- edsair.doi.dedup.....ca7c80eb9891f74a9b6b2e9bcd0b06e1