Excisional goniotomy with Kahook Dual Blade in a patient with glaucoma secondary to Transthyretin Amyloidosis

PURPOSETo report for the first time the successful use of the Kahook Dual Blade excisional goniotomy technique in a patient with Transthyretin Amyloidosis.PATIENT AND METHODSThe Kahook Dual Blade is a single use ab interno trabeculectomy device that removes the trabecular meshwork reducing aqueous h...

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Bibliographic Details
Published in:American journal of ophthalmology case reports 2020, Vol.19, p.100750-100750
Main Authors: Barbosa, Natalie Brossard, Grippo, Tomas M
Format: Report
Language:English
Online Access:Get full text
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Summary:PURPOSETo report for the first time the successful use of the Kahook Dual Blade excisional goniotomy technique in a patient with Transthyretin Amyloidosis.PATIENT AND METHODSThe Kahook Dual Blade is a single use ab interno trabeculectomy device that removes the trabecular meshwork reducing aqueous humor outflow resistance. A patient with Transthyretin Amyloidosis underwent this procedure.RESULTSAb interno goniotomy with Kahook Dual Blade was a successful surgical solution to reduce intraocular pressure in a patient with Transthyretin Amyloidosis secondary glaucoma controlling IOP in association with topical hypotensors for at least 6 months.CONCLUSIONSAb interno goniotomy with Kahook Dual Blade is a surgical option for this type of glaucoma, that treats the main site of aqueous outflow resistance in this pathology with the advantage of being minimally invasive.
ISSN:2451-9936
DOI:10.1016/j.ajoc.2020.100750