Evidence map›Paper›PMID 33907888›Full record

Trial reportGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2021

Twelve-month results of ab interno trabeculectomy with Kahook Dual Blade: an interventional, randomized, controlled clinical study.

Néstor Ventura-Abreu, Julián García-Feijoo, Marta Pazos, Marc Biarnés, Laura Morales-Fernández, José María Martínez-de-la-Casa

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04202562 (Efficacy and Safety of the ab Interno Trabeculectomy With Kahook Dual Blade Combined With Cataract Surgery Versus Cataract Surgery Alone), which is not on this map. Cited by 33 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04202562 nacompletednot on this map

Efficacy and Safety of the ab Interno Trabeculectomy With Kahook Dual Blade Combined With Cataract Surgery Versus Cataract Surgery Alone: a Prospective, Single-center, Randomized Study

TypeinterventionalSponsorHospital San Carlos, MadridRan2017 to 2018Enrolled42ConditionsGlaucoma, Open-Angle, Ocular Hypertension, Eye Diseases, HypertensionArmsAb interno trabeculectomy, Cataract
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Minimally Invasive Glaucoma Surgery.Deutsches Arzteblatt international · 2025
    Pooled it
  4. Preliminary Outcomes of iStent Inject vs Kahook Dual Blade Goniotomy Combined With Phacoemulsification: A Randomized Controlled Trial.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Trial
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  13. Minimally Invasive Glaucoma Surgery: Is It Here to Stay?Clinical & experimental ophthalmology · 2025
    Review
  14. Visual Function After Schlemm's Canal-Based MIGS.Journal of clinical medicine · 2025
    Review
  15. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Néstor Ventura-AbreuOphthalmology Department, Instituto de Investigación Sanitaria San Carlos (IdISSC), San Carlos Clinical Hospital, Madrid, Spain. ventanes@gmail.com.ORCID http://orcid.org/0000-0001-5446-7675
Julián García-FeijooOphthalmology Department, Instituto de Investigación Sanitaria San Carlos (IdISSC), San Carlos Clinical Hospital, Madrid, Spain.
Marta PazosOphthalmology Department, Insitut D'Investigacions Mèdiques August Pi I Sunyer (IDIBAPS), Hospital Clínic de Barcelona, Barcelona University (UB), Barcelona, Spain.
Marc BiarnésInstitut de La Màcula, Barcelona Macula Foundation, Barcelona, Spain.
Laura Morales-FernándezOphthalmology Department, Instituto de Investigación Sanitaria San Carlos (IdISSC), San Carlos Clinical Hospital, Madrid, Spain.
José María Martínez-de-la-CasaOphthalmology Department, Instituto de Investigación Sanitaria San Carlos (IdISSC), San Carlos Clinical Hospital, Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the efficacy and safety profile of Kahook Dual Blade ab interno trabeculectomy combined with phacoemulsification compared to stand-alone conventional cataract surgery.

methodsA single-center longitudinal, randomized controlled trial was conducted. Patients older than 18 years with coexisting cataract and open-angle glaucoma or ocular hypertension were invited to participate. Preoperative and postoperative clinical data were collected and analyzed preoperatively and at months 1, 3, 6, and 12 after the procedure. Main outcome measures included best corrected visual acuity, intraocular pressure, number of glaucoma medications, endothelial cell count, and standard automated perimetry.

resultsForty-two eyes from 33 patients were randomly allocated to the combined cataract and KDB (treatment, n = 21) or cataract alone (control, n = 21) groups. Intraocular pressure decreased from 17.9 ± 3.5 to 16.0 ± 2.2 mmHg and from 17.3 ± 2.5 to 15 ± 3.2 mmHg at the last visit in the treatment and control groups (p = 0.47). The use of glaucoma medications was reduced from a median (IQR) 1 (1-2) to 0 (0-0) in the treatment group and from 1 (1-2) to 0 (0-1) in the control group, with no significant differences between groups at the 12-month visit (p = 0.47). Best corrected visual acuity, endothelial cell count, and standard automated perimetry remained similar during follow-up in both groups.

conclusionsIn patients with well-controlled, mild-to-moderate glaucoma, adding ab interno trabeculectomy with KDB to phacoemulsification might not be more effective than phacoemulsification alone to reach mid-teens IOP values. Both procedures showed similar safety profiles.

trial registrationClinicalTrials.gov Identifier: NCT04202562, December 17, 2019 retrospectively registered.

Indexed as

Glaucoma, Open-AnglePhacoemulsificationTrabeculectomyAdolescentHumansIntraocular PressureRetrospective StudiesTreatment OutcomeVisual AcuityAb interno trabeculectomyGlaucoma surgeryIntraocular pressureKahook Dual BladeMIGS

Identifiers

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.