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Cataract Surgery
Cataract/Anterior Segment
Glaucoma

Outcomes similar between KDB, Trabectome with cataract surgery

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Intraocular pressure (IOP) and medication burden outcomes were similar between Kahook Dual Blade (KDB) and Trabectome with cataract surgery, with KDB use resulting in a greater reduction of medication use in patients and Trabectome resulting in success more frequently, according to a study.

In this retrospective chart review, data from 215 eyes, including 90 in the KDB group and 125 in the Trabectome group, were analyzed.

At post-operative month 12, there was no significant difference between groups in mean change in IOP (11.2% in the KDB group vs 19.1% in the Trabectome group). There was a 58% decrease in glaucoma medications at 12 months in the KDB group compared with a 38% decrease in the Trabectome group (P = 0.02). The percentage of eyes achieving success was 30% and 54% in the KDB group and the Trabectome group, respectively (P = 0.01).

Incidence of hyphema, the most common complication, was 3% for the KDB group and 14% for the Trabectome group (P = 0.01).

Reference
Fliney GD, Kim E, Sarwana M, et al. Kahook Dual Blade versus Trabectome (KVT): Comparing Outcomes in Combination with Cataract Surgery. Clin Ophthalmol. 2023;17:145-154. doi: 10.2147/OPTH.S391527. PMID: 36647517; PMCID: PMC9840398.

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