Outcomes similar between KDB, Trabectome with cataract surgery

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.