Details

Autor(en) / Beteiligte

• Greenwood, Michael D.
• Seibold, Leonard K.
• Radcliffe, Nathan M.
• Dorairaj, Syril K.
• Aref, Ahmad A.
• Román, Jesús Jimenez
• Lazcano-Gomez, Gabriel S.
• Darlington, Jason K.
• Abdullah, Suhail
• Jasek, Mark C.
• Bahjri, Khaled A.
• Berdahl, John P.

Titel

Goniotomy with a single-use dual blade: Short-term results

Ist Teil von

• Journal of cataract and refractive surgery, 2017-09, Vol.43 (9), p.1197-1201

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

2017

Quelle

MEDLINE

Beschreibungen/Notizen

• To evaluate the intraocular pressure (IOP)–lowering efficacy and safety of a single-use dual blade (Kahook) in patients with mild to end-stage glaucoma. International multicenter ophthalmic care centers. Prospective interventional case series. Consecutive patients with glaucoma who had phacoemulsification plus goniotomy with the single-use dual blade were enrolled in this study. Each center collected deidentified clinical data, including preoperative and postoperative IOP, medication use, adverse events, and whether additional surgery was required during a 6-month follow-up. Of the 71 eyes included in this study, 70% had primary open-angle glaucoma. Other diagnoses included angle-closure, pigmentary, pseudoexfoliative, and normal-tension glaucoma. Sixty-five percent of eyes were classified as having mild to moderate glaucoma and 35%, severe glaucoma. The mean baseline IOP decreased from 17.4 mm Hg ± 5.2 (SD) to 12.8 ± 2.6 mm Hg 6 months postoperatively and the hypotensive medication use decreased from 1.6 ± 1.3 to 0.9 ± 1.0, respectively (P < .001 and P = .005, respectively). The most common observation was blood reflux during surgery (39.4%). Single-use dual blade goniotomy plus phacoemulsification resulted in a significant and sustained reduction in IOP and a decrease in glaucoma medications after 6 months of follow-up.