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Updated: Feb 6, 2026

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Assessing Early Stage Open-Angle Glaucoma in Patients by Isolated-Check Visual Evoked Potential
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Goniotomía Kahook Dual-Blade combinada con facoemulsificación en pacientes con glaucoma primario de ángulo abierto:
Antônio Lucas Oliveira Correia1,2, Breno Santos Holanda1, Vital Paulino Costa2
1Hospital Geral de Fortaleza, Fortaleza, CE, Brazil.
Arquivos brasileiros de oftalmologia
|February 4, 2026
Resumen
La goniotomía Kahook Dual Blade combinada con cirugía de cataratas reduce eficazmente la presión intraocular y la necesidad de medicación en pacientes con glaucoma durante 36 meses.
Área de la Ciencia:
- Oftalmología; Innovación Quirúrgica; Manejo del Glaucoma
Sus antecedentes:
- El glaucoma requiere un tratamiento a largo plazo.; El Kahook Dual Blade (KDB) ofrece un enfoque novedoso para la goniotomía.; La mejora del control de la presión intraocular (PIO) es fundamental para los pacientes con glaucoma.
Objetivo del estudio:
- Evaluar la eficacia y seguridad a largo plazo (36 meses) de la goniotomía KDB.; Evaluar la goniotomía KDB en pacientes con glaucoma primario de ángulo abierto (GPAA) sometidos a cirugía de cataratas.; Determinar el impacto de la goniotomía KDB en la PIO y los requerimientos de medicación.
Principales métodos:
- Serie de casos retrospectiva de 56 ojos con GPAA de leve a moderado.; Facoemulsificación combinada con goniotomía KDB.; Evaluación de la PIO, el uso de gotas oftálmicas hipotensoras y las complicaciones durante 36 meses.
Principales resultados:
- La PIO media se redujo en un 14,9 % (de 15,96 a 13,14 mmHg) a los 36 meses (p<0,001).; El número medio de gotas oftálmicas disminuyó un 29,8 % (de 1,91 a 1,34) (p<0,001).; La tasa general de éxito quirúrgico fue del 69,6 % a los 36 meses.
Conclusiones:
- La goniotomía KDB combinada con la cirugía de cataratas reduce significativamente la PIO y la carga de medicación.; El procedimiento demuestra una tasa de éxito favorable y sostenida a los 36 meses.; La goniotomía KDB es una opción segura y eficaz para el manejo del GPAA de leve a moderado.
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