{"title":"Outcome of Combined Kahook Dual Blade Surgery and Deep Sclerectomy: Adverse Effects of Postsurgical Low Intraocular Pressure.","authors":"Etsuo Chihara, Tomoyuki Chihara","doi":"10.5005/jp-journals-10078-1457","DOIUrl":null,"url":null,"abstract":"<p><strong>Aim and background: </strong>This study aims to evaluate the hypothesis that combining minimally invasive Kahook Dual Blade (KDB) surgery and modified deep sclerectomy enhances the efficacy of reducing postoperative intraocular pressure (IOP).</p><p><strong>Case description: </strong>Outcomes were studied in two open-angle glaucoma patients who underwent combined KDB surgery and modified deep sclerectomy procedures.</p><p><strong>Results: </strong>Postsurgical observations in both cases revealed extensive hyphema and flattening of the bleb within 1 month. The efficacy in reducing IOP did not surpass that of patients treated with simple trabeculotomy.</p><p><strong>Conclusion: </strong>The combination of modified deep sclerectomy with internal excisional trabeculotomy may lead to postoperative hypotension and massive anterior chamber bleeding, potentially compromising final outcomes. Therefore, this approach is not recommended.</p><p><strong>Clinical significance: </strong>These findings highlight the importance of carefully considering surgical approaches to optimize patient outcomes in glaucoma management.</p><p><strong>How to cite this article: </strong>Chihara E, Chihara T. Outcome of Combined Kahook Dual Blade Surgery and Deep Sclerectomy: Adverse Effects of Postsurgical Low Intraocular Pressure. J Curr Glaucoma Pract 2024;18(4):174-177.</p>","PeriodicalId":15419,"journal":{"name":"Journal of Current Glaucoma Practice","volume":"18 4","pages":"174-177"},"PeriodicalIF":0.0000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11915356/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Current Glaucoma Practice","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5005/jp-journals-10078-1457","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/20 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
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Abstract
Aim and background: This study aims to evaluate the hypothesis that combining minimally invasive Kahook Dual Blade (KDB) surgery and modified deep sclerectomy enhances the efficacy of reducing postoperative intraocular pressure (IOP).
Case description: Outcomes were studied in two open-angle glaucoma patients who underwent combined KDB surgery and modified deep sclerectomy procedures.
Results: Postsurgical observations in both cases revealed extensive hyphema and flattening of the bleb within 1 month. The efficacy in reducing IOP did not surpass that of patients treated with simple trabeculotomy.
Conclusion: The combination of modified deep sclerectomy with internal excisional trabeculotomy may lead to postoperative hypotension and massive anterior chamber bleeding, potentially compromising final outcomes. Therefore, this approach is not recommended.
Clinical significance: These findings highlight the importance of carefully considering surgical approaches to optimize patient outcomes in glaucoma management.
How to cite this article: Chihara E, Chihara T. Outcome of Combined Kahook Dual Blade Surgery and Deep Sclerectomy: Adverse Effects of Postsurgical Low Intraocular Pressure. J Curr Glaucoma Pract 2024;18(4):174-177.
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