Long Term Outcome of Combined Phacoemulsification and Excisional Goniotomy With the Kahook Dual Blade

Ahmed Al Habash

Status: Completed

Conditions: Angle Closure Glaucoma; Cataract; Surgery; Glaucoma; Glaucoma, Open-Angle

Treatments: Device: kahook dual blade

Study type: Interventional

Funder types: Other

Identifiers

NCT04476810

IRB -2020-01-169

Details and patient eligibility

About

Purpose: Characterize changes in intraocular pressure (IOP), IOP-lowering medications, and visual acuity (VA) through 3 years in patients undergoing combined phacoemulsification and excisional goniotomy with the Kahook Dual Blade (phaco-KDB), with simultaneous goniosynechialysis in cases of angle-closure glaucoma, by a single surgeon (A.H.) in King Fahd Hospital of the University, Dammam, Saudi Arabia.

Methods: Prospective, non-comparative, uncontrolled, non-randomized interventional case series. Consecutive patients with medically-treated glaucoma and visually-significant cataract underwent combined surgery. Subgroup analysis of glaucoma subtypes was performed.

Enrollment: 57 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• adults 18 years or older
• medically-managed glaucoma
• visually significant cataract

Exclusion criteria

• Patients undergoing any other combined procedures
• active uveitis
• coexisting retinopathy that limits visual acuity potential
• active neovascularization
• angle dysgenesis
• those with less than 6 months of follow-up, were excluded.

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

---

57 participants in 1 patient group

combined (phaco-kdb)

Experimental group

Description:

Prospective, non-comparative, uncontrolled, non-randomized interventional case series. Consecutive patients with medically-treated glaucoma and visually-significant cataract underwent combined surgery. Subgroup analysis of glaucoma subtypes was performed.

Treatment:

Device: kahook dual blade