Evidence map›Paper›PMID 41523173›Full record

ArticleJournal of current glaucoma practice

Impact of Postoperative Intraocular Pressure Spikes on Outcomes Following Goniotomy: A Comparative Study of Surgical Techniques.

Wesam Shamseldin Shalaby, Steven Lee Chang, Julia Yu, Teresa Horan, Sagar Shah, Shahin Hallaj, Marlene Moster, Reza Razeghinejad, Daniel Lee, Michael Pro and 5 more

Abstract read
In one paragraph

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. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

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

1 citing paper in PubMed.

  1. Article
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

15 authors.

Wesam Shamseldin ShalabyGlaucoma Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania, United States; Tanta Medical School, Tanta University, Tanta, Gharbia, Egypt.ORCID https://orcid.org/0000-0003-2577-9412
Steven Lee ChangGlaucoma Service, Wills Eye Hospital, Thomas Jefferson University; Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, United States.
Julia YuGlaucoma Service, Wills Eye Hospital, Thomas Jefferson University; Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, United States.
Teresa HoranGlaucoma Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania, United States.
Sagar ShahGlaucoma Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania, United States.
Shahin HallajGlaucoma Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania, United States.
Marlene MosterGlaucoma Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania, United States.
Reza RazeghinejadGlaucoma Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania, United States.
Daniel LeeGlaucoma Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania, United States.
Michael ProGlaucoma Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania, United States.
Aakriti ShuklaGlaucoma Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania, United States; Columbia University Irving Medical Center, New York, United States.
Ping HuangGlaucoma Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania, United States.
Jonathan MyersGlaucoma Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania, United States.
Tina XiaGlaucoma Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania, United States.
Dilru AmarasekeraGlaucoma Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim and background: To compare postoperative intraocular pressure (IOP) spikes and 1-year surgical success among goniotomy procedures: Kahook Dual Blade (KDB), OMNI, bent Materials and methods: This single-center, retrospective chart review included glaucoma patients ≥18 years, who underwent goniotomy from January 2021 to December 2022 with ≥3 months of follow-up. Primary outcomes were IOP spikes (≥10 mm Hg increase within 3 months) and 12-month surgical success (≥20% IOP and/or ≥1 medication reduction without further surgery). Secondary outcomes included IOP and medication changes. Results: Among 247 eyes (107 KDB, 63 OMNI, 77 BANG; all with phacoemulsification), IOP spikes occurred in 13.0% with no difference between groups ( Conclusion: Kahook Dual Blade, OMNI, and BANG with phacoemulsification had comparable 1-year safety and efficacy. IOP spikes increase the risk of failure and reoperation, especially in severe glaucoma. GATT showed favorable outcomes when performed standalone. Clinical significance: Choice among KDB, OMNI, and BANG can be individualized without compromising outcomes. Monitoring for IOP spikes is crucial in high-risk eyes. Standalone GATT offers strong results when cataract surgery is not needed. How to cite this article: Shalaby WS, Chang SL, Yu J,

Indexed as

Bent ab interno needle goniotomyGlaucomaGonioscopy-assisted transluminal trabeculotomyGoniotomyKahook Dual BladeNeedle goniotomyOMNI

Identifiers

PMID41523173
PMCPMC12780354

What OpenQuestion holds

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Registered trials

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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.