Corneal Higher-Order Aberrations after Microhook ab Interno Trabeculotomy and Goniotomy with the Kahook Dual Blade: Preliminary Early 3-Month Results
We examined postoperative corneal higher-order aberrations (HOAs) present after combined phacoemulsification with either microhook ab interno trabeculotomy (μLOT-Phaco) or goniotomy, using the Kahook Dual Blade (KDB-Phaco). Retrospective study: A total of 45 eyes underwent μLOT-Phaco and KDB-Phaco (...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2021-09-01
|
| Series: | Journal of Clinical Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2077-0383/10/18/4115 |
| _version_ | 1797518724856545280 |
|---|---|
| author | Hiromitsu Onoe Kazuyuki Hirooka Hideaki Okumichi Yumiko Murakami Yoshiaki Kiuchi |
| author_facet | Hiromitsu Onoe Kazuyuki Hirooka Hideaki Okumichi Yumiko Murakami Yoshiaki Kiuchi |
| author_sort | Hiromitsu Onoe |
| collection | DOAJ |
| description | We examined postoperative corneal higher-order aberrations (HOAs) present after combined phacoemulsification with either microhook ab interno trabeculotomy (μLOT-Phaco) or goniotomy, using the Kahook Dual Blade (KDB-Phaco). Retrospective study: A total of 45 eyes underwent μLOT-Phaco and KDB-Phaco (LOT-Phaco) procedures, with 21 eyes that underwent cataract surgery alone used as controls. Visual acuity and corneal HOAs, coma-like aberrations, and spherical-like aberrations were analyzed before and at 1, 2, and 3 months after the surgeries. Risk factors that could potentially influence HOAs were evaluated. No significant postoperative changes were noted for corneal HOAs, coma-like aberrations, and spherical-like aberrations after cataract surgery alone. The mean corneal HOAs, coma-like aberrations, and spherical-like aberrations were 0.222 ± 0.115 μm, 0.203 ± 0.113 μm, and 0.084 ± 0.043 μm at baseline and 0.326 ± 0.195 μm (<i>p</i> < 0.001), 0.302 ± 0.289 μm (<i>p</i> = 0.03), and 0.150 ± 0.115 μm (<i>p</i> < 0.001) at 3 months after LOT-Phaco, respectively. Results of the analysis for risk factors suggested that a longer incision in Schlemm’s canal could influence corneal HOAs, coma-like aberrations, and spherical-like aberrations after LOT-Phaco. Although no significant postoperative changes were observed in corneal HOAs and coma-like or spherical-like aberrations after cataract surgery alone, a significant increase in corneal HOAs and coma-like or spherical-like aberrations remained after the LOT-Phaco procedure. |
| first_indexed | 2024-03-10T07:33:41Z |
| format | Article |
| id | doaj.art-3adebdd1ae584b53bded8698783bbc06 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T07:33:41Z |
| publishDate | 2021-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-3adebdd1ae584b53bded8698783bbc062023-11-22T13:39:42ZengMDPI AGJournal of Clinical Medicine2077-03832021-09-011018411510.3390/jcm10184115Corneal Higher-Order Aberrations after Microhook ab Interno Trabeculotomy and Goniotomy with the Kahook Dual Blade: Preliminary Early 3-Month ResultsHiromitsu Onoe0Kazuyuki Hirooka1Hideaki Okumichi2Yumiko Murakami3Yoshiaki Kiuchi4Department of Ophthalmology and Visual Science, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima 734-8551, JapanDepartment of Ophthalmology and Visual Science, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima 734-8551, JapanDepartment of Ophthalmology and Visual Science, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima 734-8551, JapanDepartment of Ophthalmology and Visual Science, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima 734-8551, JapanDepartment of Ophthalmology and Visual Science, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima 734-8551, JapanWe examined postoperative corneal higher-order aberrations (HOAs) present after combined phacoemulsification with either microhook ab interno trabeculotomy (μLOT-Phaco) or goniotomy, using the Kahook Dual Blade (KDB-Phaco). Retrospective study: A total of 45 eyes underwent μLOT-Phaco and KDB-Phaco (LOT-Phaco) procedures, with 21 eyes that underwent cataract surgery alone used as controls. Visual acuity and corneal HOAs, coma-like aberrations, and spherical-like aberrations were analyzed before and at 1, 2, and 3 months after the surgeries. Risk factors that could potentially influence HOAs were evaluated. No significant postoperative changes were noted for corneal HOAs, coma-like aberrations, and spherical-like aberrations after cataract surgery alone. The mean corneal HOAs, coma-like aberrations, and spherical-like aberrations were 0.222 ± 0.115 μm, 0.203 ± 0.113 μm, and 0.084 ± 0.043 μm at baseline and 0.326 ± 0.195 μm (<i>p</i> < 0.001), 0.302 ± 0.289 μm (<i>p</i> = 0.03), and 0.150 ± 0.115 μm (<i>p</i> < 0.001) at 3 months after LOT-Phaco, respectively. Results of the analysis for risk factors suggested that a longer incision in Schlemm’s canal could influence corneal HOAs, coma-like aberrations, and spherical-like aberrations after LOT-Phaco. Although no significant postoperative changes were observed in corneal HOAs and coma-like or spherical-like aberrations after cataract surgery alone, a significant increase in corneal HOAs and coma-like or spherical-like aberrations remained after the LOT-Phaco procedure.https://www.mdpi.com/2077-0383/10/18/4115higher-order aberrationsab interno trabeculotomyKahook Dual Bladeglaucoma |
| spellingShingle | Hiromitsu Onoe Kazuyuki Hirooka Hideaki Okumichi Yumiko Murakami Yoshiaki Kiuchi Corneal Higher-Order Aberrations after Microhook ab Interno Trabeculotomy and Goniotomy with the Kahook Dual Blade: Preliminary Early 3-Month Results Journal of Clinical Medicine higher-order aberrations ab interno trabeculotomy Kahook Dual Blade glaucoma |
| title | Corneal Higher-Order Aberrations after Microhook ab Interno Trabeculotomy and Goniotomy with the Kahook Dual Blade: Preliminary Early 3-Month Results |
| title_full | Corneal Higher-Order Aberrations after Microhook ab Interno Trabeculotomy and Goniotomy with the Kahook Dual Blade: Preliminary Early 3-Month Results |
| title_fullStr | Corneal Higher-Order Aberrations after Microhook ab Interno Trabeculotomy and Goniotomy with the Kahook Dual Blade: Preliminary Early 3-Month Results |
| title_full_unstemmed | Corneal Higher-Order Aberrations after Microhook ab Interno Trabeculotomy and Goniotomy with the Kahook Dual Blade: Preliminary Early 3-Month Results |
| title_short | Corneal Higher-Order Aberrations after Microhook ab Interno Trabeculotomy and Goniotomy with the Kahook Dual Blade: Preliminary Early 3-Month Results |
| title_sort | corneal higher order aberrations after microhook ab interno trabeculotomy and goniotomy with the kahook dual blade preliminary early 3 month results |
| topic | higher-order aberrations ab interno trabeculotomy Kahook Dual Blade glaucoma |
| url | https://www.mdpi.com/2077-0383/10/18/4115 |
| work_keys_str_mv | AT hiromitsuonoe cornealhigherorderaberrationsaftermicrohookabinternotrabeculotomyandgoniotomywiththekahookdualbladepreliminaryearly3monthresults AT kazuyukihirooka cornealhigherorderaberrationsaftermicrohookabinternotrabeculotomyandgoniotomywiththekahookdualbladepreliminaryearly3monthresults AT hideakiokumichi cornealhigherorderaberrationsaftermicrohookabinternotrabeculotomyandgoniotomywiththekahookdualbladepreliminaryearly3monthresults AT yumikomurakami cornealhigherorderaberrationsaftermicrohookabinternotrabeculotomyandgoniotomywiththekahookdualbladepreliminaryearly3monthresults AT yoshiakikiuchi cornealhigherorderaberrationsaftermicrohookabinternotrabeculotomyandgoniotomywiththekahookdualbladepreliminaryearly3monthresults |