Outcome of Combined Kahook Dual Blade Surgery and Deep Sclerectomy: Adverse Effects of Postsurgical Low Intraocular Pressure
Etsuo Chihara, Tomoyuki Chihara
Keywords :
Adverse event, Bleb, Case report, Clot, Combined minimally invasive glaucoma surgery, Deep sclerectomy, Glaucoma surgery, Hyphema, Intraocular pressure, Kahook Dual Blade, Schlemm's canal opening surgery
Citation Information :
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.
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.
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