Evidence map›Paper›PMID 38337081›Full record

ArticleInternational ophthalmology2024

Twelve-month outcomes of Kahook dual blade goniotomy combined with cataract surgery in Latino patients.

Gustavo Espinoza, Manuel Jose Justiniano, Ignacio Rodriguez-Una, Fernando Godin, Andres Arango, Sylvia Villamizar

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Article in International ophthalmology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.6field-weighted citation impact, top 20% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 3 citations in OpenAlex.

  1. Trial
  2. Predictive baseline thresholds for successful dual blade goniotomy combined with phacoemulsification in glaucoma patients.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
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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 at 4 institutions in 3 countries.

Gustavo EspinozaCentro Oftalmológico Virgilio Galvis, Bucaramanga, Santander, Colombia. drgustavoespinoza@hotmail.com.
Manuel Jose JustinianoClínica de ojos Norte, Santa Cruz de la Sierra, Bolivia.
Ignacio Rodriguez-UnaInstituto Oftalmológico Fernández-Vega, University of Oviedo, Oviedo, Spain.
Fernando GodinGrupo de investigación Salud Visual y ocular Unbosque, Universidad del Bosque, Bogotá D.C., Colombia.
Andres ArangoCentro Oftalmológico Virgilio Galvis, Bucaramanga, Santander, Colombia.
Sylvia VillamizarCentro Oftalmológico Virgilio Galvis, Bucaramanga, Santander, Colombia.
Foscal Hospital · COUniversidad de Oviedo · ESUniversidad El Bosque · COUniversidad Privada de Santa Cruz de la Sierra · BO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate 12 month surgical outcome of Kahook Dual Blade (KDB) goniotomy in combination with cataract surgery in Latino patients with open angle glaucoma (OAG) and ocular hypertension (OHT).

methodsThis retrospective study included 45 eyes of 40 patients who underwent KDB goniotomy combined with cataract extraction from January 2016 to September 2020 at two centers in South America. Primary outcome was surgical success defined as ≥ 20% intraocular pressure (IOP) reduction or ≥ 1 medication reduction from preoperative without additional IOP-lowering procedures and an IOP ≥ 5 mmHg or ≤ 21 mmHg. Additionally, we used 2 cutoffs values for success of IOP ≤ 18 and ≤ 15 mmHg. Secondary outcomes included: IOP, medication use, best corrected visual acuity, complications and failure-associated factors.

resultsSuccess rates at 12 months with cutoff limits of 21, 18 and 15 mmHg were 84.3%, 75.6% and 58.7%, respectively. At 12 months, mean preoperative IOP significantly decreased from 19.23 ± 0.65 mmHg on 2.3 ± 1.0 medications to 14.33 ± 0.66 mmHg on 0.6 ± 0.9 medications (p < 0.001) , with 62% of eyes free of hypotensive medication. Eyes that developed postoperative IOP spikes showed a higher risk for failure using the cutoff limit of IOP ≤ 18 mmHg with a hazard ratio of 3.6 (95% confidence interval [CI], 1.80-7.13; p < 0.001). There were no serious ocular adverse events.

conclusionsKDB combined with cataract extraction showed safety and efficacy for decreasing IOP in OAG and OHT Latino patients. Additionally, dependence on medications was reduced significantly after surgery.

Indexed as

CataractCataract ExtractionGlaucomaGlaucoma, Open-AngleOcular HypertensionTrabeculectomyHumansIntraocular PressureRetrospective StudiesTonometry, OcularTrabecular MeshworkTreatment OutcomeCataract surgeryGlaucomaGoniotomyIntraocular pressureKahook dual blade (KDB)Micro-invasive glaucoma surgery

Identifiers

PMID38337081
OpenAlexW4391677361

What OpenQuestion holds

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Registered trials

None linked

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.