The Filtering, Clear-cornea Diathermal Keratostomy

Kessing, Svend Vedel; Nissen, Ole I.; Thygesen, John; Flesner, Per; Otland, Niels; Riise, Per

doi:10.1097/ijg.0b013e31815a3455

Cited by 2 publications

(5 citation statements)

References 15 publications

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“…In the study by Kessing, success was defined as IOP £18 mmHg, and a postoperative IOP decrease of ‡30% with or without reoperation or recanalization. However, if we compared the two studies using the qualified success criteria (IOP £18 mmHg, IOP lowered ‡30% with no regard to postoperative medication or reoperation), our rate of success in the IDK group was still lower (64%) than the study by Kessing (92%) ( Table 5) (Kessing et al 2008).…”

Section: Resultsmentioning

confidence: 83%

“…In a Danish multicenter study by Kessing et al (2008) 11 of 12 eyes (92%) with POAG operated with IDK fulfilled the success criteria after a mean follow-up of 14 months. We did not obtain a similar rate of success in the IDK group as observed by Kessing, despite the fact that the preoperative data were equivalent with ours.…”

Section: Resultsmentioning

confidence: 99%

“…(B) IDK technique: 1, Subconjunctival Mitomycin C injection; 2, corneal incision surgical; 3, corneoscleral tunnel incision; 4, disc knife protruding subconjunctivally; 5, diathermal keratostomy; 6, 10-0 Nylon sutures. CourtesyKessing et al (2008).…”

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confidence: 99%

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A comparative study of trabeculectomy and the new clear‐cornea filtering procedure, intrastromal diathermal keratostomy (IDK)

Bach‐Holm

Storr‐Paulsen

Nørregaard

2011

Acta Ophthalmologica

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Purpose: For the first time to compare the 1‐year success rates of trabeculectomy and the new clear‐cornea filtering procedure, intrastromal diathermal keratostomy (IDK). Methods: Prospective clinical observational study including 99 consecutively operated eyes (69 patients) with well‐established primary open‐angle glaucoma referred for filtering operation. We compared the change in intraocular pressure (IOP), number of anti‐glaucomatous medication, complications and reoperations after 1 year. Seventy‐four eyes were operated with trabeculectomy, and 25 with IDK. Complete success was defined as IOP ≤18 mmHg, IOP lowered ≥30%, no medication and no reoperation. Qualified success was defined as IOP ≤18 mmHg, and IOP lowered ≥30% with or without medication or reoperation. Results: Intraocular pressure pre‐ and postoperatively in the trabeculectomy group was 25.3 and 14.1 mmHg versus 23.8 and 15.8 mmHg in the IDK group. The number of medications pre‐ and postoperatively in the trabeculectomy group was 3.1 and 0.5 versus 3.2 and 1.3 in the IDK group. Forty‐four (59%) of the eyes in the trabeculectomy group met the complete success criteria compared with 5 (20%) in the IDK group (p < 0.01). Sixty‐eight (92%) in the trabeculectomy group and 16 (64%) in the IDK fulfilled the qualified success criteria (p < 0.01). Conclusion: Both the complete and qualified 1‐year success rates of IDK are significantly lower compared with the success rates of trabeculectomy. The IDK does not reduce the IOP as much as the procedure of trabeculectomy, and it carries a higher frequency of reoperations and more medication postoperatively. Thus, our prospective data do not support the procedure of IDK as ‘the gold standard’ for filtering surgery in patients with open‐angle glaucoma.

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Section: Resultsmentioning

confidence: 83%

Section: Resultsmentioning

confidence: 99%

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A comparative study of trabeculectomy and the new clear‐cornea filtering procedure, intrastromal diathermal keratostomy (IDK)

Bach‐Holm

Storr‐Paulsen

Nørregaard

2011

Acta Ophthalmologica

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“…Most of the studies lasted for at least 1 year, with 26 (30%) lasting for 2 or more years. Many of the technologies and surgical techniques were each described by a small number of prospective studies ( Figure 1) including endocyclophotocoagulation (ECP), [7][8][9][10][11] MicroPulse, 12,13 Ultrasound-based procedures, 14,15 YAG gonio procedures, [16][17][18] micro trabecular procedures, [19][20][21][22][23] Diathermy-based procedures, 24,25 Excimer Laser, 26 Kahook Dual Blade (KDB), 27,28 Hydrus, [29][30][31] and CyPass. [32][33][34][35][36] iStent, Trabectome, and Xen had the highest number of prospective studies.…”

Section: Resultsmentioning

confidence: 99%

“…23 Diathermy-based procedures were intrastromal diathermal keratostomy (IDK). 24,25 Rosdahl surgery alone. After surgery, there were no significant changes in aqueous flow.…”

Section: Micropulsementioning

confidence: 99%

<p>Prospective Studies of Minimally Invasive Glaucoma Surgeries: Systematic Review and Quality Assessment</p>

Rosdahl¹,

Gupta²

2020

OPTH

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Glaucoma is a common blinding disease; while there is no cure, effective treatments include medications, laser, and incisional surgery. There is significant interest from patients and doctors to develop safer surgical options throughout the spectrum of disease, to minimize treatment burden in mild glaucoma patients and to minimize risk of complications in patients needing more aggressive treatment. Surgical procedures called Minimally or Micro-Invasive Glaucoma Surgery (MIGS) are growing in popularity. Eightyseven prospective studies on MIGS were identified and assessed for quality. Most (74%) did not have a control group. Twelve of the highest quality were reviewed. MIGS procedures appeared to have fewer complications, and lowered intraocular pressure, and reduced medication use. Studies were limited by small sample size, narrow spectrum of glaucomatous disease, and/or conflicts of interest. There is a need for high quality, independently funded and performed, comparative studies on the MIGS to help make treatment decisions.

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The Filtering, Clear-cornea Diathermal Keratostomy

Cited by 2 publications

References 15 publications

A comparative study of trabeculectomy and the new clear‐cornea filtering procedure, intrastromal diathermal keratostomy (IDK)

A comparative study of trabeculectomy and the new clear‐cornea filtering procedure, intrastromal diathermal keratostomy (IDK)

<p>Prospective Studies of Minimally Invasive Glaucoma Surgeries: Systematic Review and Quality Assessment</p>

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