ArticleJournal of current glaucoma practice
Outcomes of Stand-alone Kahook Dual Blade Goniotomy: Higher Maximum Intraocular Pressure and Laser Trabeculoplasty as Poor Prognostic Indicators.
Article in Journal of current glaucoma practice. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
5 authors.
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Abstract
Aim and background: To investigate stand-alone Kahook Dual Blade (KDB) goniotomy outcomes, prognostic factors, and specifically whether preoperative laser trabeculoplasty (LTP) influences outcomes. Methods: This retrospective review included 26 eyes with predominantly severe glaucoma ( Results: Surgical success rates at postoperative months (POM) 6 and 18 were 57.7% ± 9.7 and 35.2% ± 9.9, respectively. Greater preoperative maximum IOP (Tmax) (Unit HR 1.11, 95% CI: 1.03-1.19, Conclusion: Stand-alone KDB offers safe IOP reduction through POY 1.5. Those with a history of LTP have one-half the IOP response as LTP-naïve eyes. Despite IOP improvement, only one-third were successful at POY 1.5, with Tmax and postoperative IOP spike identified as risk factors for failure. Clinical significance: Ophthalmologists performing stand-alone KDB may expect less IOP improvement in patients with a history of LTP and should understand this procedure may provide insufficient IOP control in those with a greater preoperative Tmax or who experience a postoperative IOP spike. How to cite this article: Claxton MR, McHenry JG, Jones JK,
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