Preliminary Outcomes of iStent Inject vs Kahook Dual Blade Goniotomy Combined With Phacoemulsification: A Randomized Controlled Trial.
Anna Charytonowicz, Małgorzata Chilmonczyk, Mateusz Zarzecki et al.
✦ AI-curated · Sources linked
In 30 seconds
This randomized controlled trial compared the safety and efficacy of phacoemulsification combined with iStent inject (phaco-iStent) versus Kahook Dual Blade goniotomy (phaco-KDB) in 68 eyes with open-angle glaucoma or ocular hypertension. Both techniques achieved similar intraocular pressure (IOP) reductions, with mean IOP decreasing to 16.58 mm Hg for phaco-iStent and 15.46 mm Hg for phaco-KDB at 6 months.
Key findings
- Mean IOP decreased from 19.37 mm Hg to 16.58 mm Hg in the phaco-iStent group.
- Mean IOP decreased from 18.15 mm Hg to 15.46 mm Hg in the phaco-KDB group.
- Complete surgical success at 6 months was 68.8% for phaco-iStent and 62.5% for phaco-KDB.
- The most common adverse events were corneal edema and hyphema, more frequent in the phaco-KDB group.
Why it matters
Understanding the comparative effectiveness of these minimally invasive glaucoma surgeries can help clinicians make informed decisions regarding surgical options for patients with mild-to-moderate glaucoma, potentially improving patient outcomes and reducing medication reliance.