Cyclodialysis Cleft Associated with Kahook Dual Blade Goniotomy

Shue, Ann; Levine, Russell M; Gallousis, Gregory M; Teng, Christopher C.

doi:10.5005/jp-journals-10078-1255

Cited by 24 publications

(27 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Some patients developed cystic macular edema (1.4-5.7%) [21,22,46]. Cyclodialysis was reported in one patient [47]. In other MIGS procedures increasing trabecular outflow, the most commonly reported were minor complications such as hyphema (23%) and irritation, which resolved during the first 14 days after the procedure.…”

Section: Discussionmentioning

confidence: 95%

Ab interno goniotomy with a Kahook Dual Blade in 6-month follow-up

Majer¹,

Kaszuba-Modrzejewska²,

Petrus³

et al. 2020

View full text Add to dashboard Cite

Aim of the study: Evaluation of ab interno goniotomy using a Kahook Dual Blade in combination with phacoemulsification in patients with primary open angle glaucoma during a 6-month follow-up. Material and methods: 75 patients with mild and moderately advanced primary open angle glaucoma, who had phacoemulsification combined with ab interno goniotomy using a Kahook Dual Blade (New World Medical, USA), were included in this analysis. The average age was 68.4 ±8.9 years. Mean pre-and postoperative intraocular pressure, number of antiglaucoma medications, complications of the surgery and need for another procedure were analysed in the 6-month follow-up. Results: Before the surgery, mean intraocular pressure was 21.9 ±3.9 mmHg and the number of antiglaucoma medications was 2.2 ±1.2. A reduction in intraocular pressure of 17.53% and a decrease in number of antiglaucoma medications of 60% (p < 0.001) were observed in the 6-month follow-up. There was slight intra-operative bleeding into the anterior chamber from the incision in all cases. On the first days after surgery there were diffuse blood cells or a clot in the anterior chamber in 38% of eyes. Increase in intraocular pressure above 25 mmHg on the first day after surgery was observed in 30.6% of eyes. In one eye there was no postoperative intraocular pressure stabilisation and laser cyclodestruction was performed. Conclusions: Ab interno goniotomy performed simultaneously with phacoemulsification results in a significant reduction in intraocular pressure and a decrease in the number of anti-glaucoma drugs used. The treatment is characterized by a good safety profile and does not require intensive postoperative management.

show abstract

Section: Discussionmentioning

confidence: 95%

Ab interno goniotomy with a Kahook Dual Blade in 6-month follow-up

Majer¹,

Kaszuba-Modrzejewska²,

Petrus³

et al. 2020

View full text Add to dashboard Cite

show abstract

“…A few treatment reports have been published concerning patients with prolonged low intraocular pressure and reduced vision after trabeculotomy. Among these, there have been reports of conventional trabeculotomy and postoperative reports of MIGS, post-Trabectome, and the Kahook Dual Blade technique [ 3 , 4 , 5 , 6 , 7 , 8 , 9 ].…”

Section: Discussionmentioning

confidence: 99%

A Case of Cyclodialysis after Microhook Trabeculotomy Treated with Vitreous Surgery

Kudo

Suzuki

Yamauchi

et al. 2021

Case Rep Ophthalmol

View full text Add to dashboard Cite

We report a case of cyclodialysis with decreased visual acuity after microhook trabeculotomy (mTLO) successfully treated by vitreous surgery. A 41-year-old man had been medically treated for primary open-angle glaucoma in both eyes. He was scheduled to undergo mTLO due to progression of visual field impairment and unstable intraocular pressure in his right eye. His preoperative best-corrected visual acuity (BCVA) was 0.4 OD, and the intraocular pressure was unstable, ranging from 12 to 27 mm Hg. On the day after the operation, a shallow anterior chamber developed, and a low intraocular pressure occurred. His visual acuity continued to decrease, and cyclodialysis was confirmed by ultrasonic biomicroscopy. No improvement was obtained with medical treatment, and his BCVA dropped to 0.08 OD, while his intraocular pressure remained at 2–3 mm Hg. Three months later, a second surgery was performed by combining cataract surgery with intraocular lens implantation, vitrectomy, cryopexy for the pars plana of the ciliary body, and 20% SF6 gas tamponade. Two weeks after the reoperation, the intraocular pressure had been normalized to 12 mm Hg, and the BCVA had returned to 0.3. We successfully treated cyclodialysis as a complication after mTLO by vitreous surgery that led to the recovery of the visual acuity and intraocular pressure.

show abstract

“…The literature surrounding the development of cyclodialysis clefts secondary to adult glaucoma procedures is sparse; one instance following goniotomy 5 and two following Trabectome 6 , 7 are chronicled in case reports. Our patient represents the second reported case of cyclodialysis cleft formation post-goniotomy.…”

Section: Discussionmentioning

confidence: 99%

“… 3 , 4 However, in 2019, Shue et al described a patient who developed a cyclodialysis cleft following a routine cataract extraction with intraocular lens implant and Kahook Dual Blade (KDB, New World Medical, Rancho Cucamonga, CA) goniotomy. 5 Closure of this patient's cyclodialysis cleft by repeated argon laser photocoagulation was achieved following failure of medical management. 5 …”

Section: Introductionmentioning

confidence: 97%

See 1 more Smart Citation

Cryotherapy for the management of refractory hypotony secondary to post-goniotomy cyclodialysis cleft

Portney

Michelson

Besirli

et al. 2020

American Journal of Ophthalmology Case Reports

View full text Add to dashboard Cite

Purpose To report on the management of an unusual case of post-goniotomy hypotony. Observation A 41-year-old female with pigmentary glaucoma presented with a post-goniotomy cyclodialysis cleft and signs of hypotony maculopathy. Indirect cyclopexy closed the visible cleft but did not resolve her hypotony, despite neither ultrasonographic nor gonioscopic evidence of an open cleft or communication channel. Cryotherapy-induced cyclopexy and subsequent viscoelastic agent fill increased the intraocular pressure back to baseline. Conclusions This is the first reported case of cryotherapy correcting hypotony in a patient with no gonioscopic or ultrasonographic evidence of a cyclodialysis cleft. It demonstrates the utility of cryotherapy in the management of persistent ocular hypotony despite no detectable channel of aqueous outlet.

show abstract

Cyclodialysis Cleft Associated with Kahook Dual Blade Goniotomy

Cited by 24 publications

References 4 publications

Ab interno goniotomy with a Kahook Dual Blade in 6-month follow-up

Ab interno goniotomy with a Kahook Dual Blade in 6-month follow-up

A Case of Cyclodialysis after Microhook Trabeculotomy Treated with Vitreous Surgery

Cryotherapy for the management of refractory hypotony secondary to post-goniotomy cyclodialysis cleft

Contact Info

Product

Resources

About