{"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.
目的与背景：本研究旨在评价微创Kahook双刀（KDB）手术联合改良深巩膜切除术对降低术后眼压（IOP）的疗效。病例描述：我们研究了两例开角型青光眼患者，他们接受了联合KDB手术和改良的深巩膜切除术。结果：术后观察两例均出现广泛的前房积血，1个月内水泡变平。其降低IOP的效果并没有超过单纯小梁切开术。结论：改良深巩膜切除术联合内切小梁切开术可能导致术后低血压和大量前房出血，可能影响最终结果。因此，不建议使用这种方法。临床意义：这些发现强调了仔细考虑手术方法以优化青光眼治疗患者预后的重要性。Chihara E, Chihara T.联合Kahook双刀手术和深度巩膜切除术的结果：术后低眼压的不良反应。中华青光眼杂志；2009;18(4):174-177。
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