One-year outcomes of Bent ab-interno needle goniectomy with phacoemulsification in primary glaucoma
Purpose: To study 1-year outcomes of bent ab-interno needle goniectomy (BANG) with phacoemulsification in patients across the glaucoma spectrum. Methods: This Prospective, noncomparative interventional study enrolled primary glaucoma patients (open-angle and angle-closure) with medically controlled...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-08-01
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| Series: | Indian Journal of Ophthalmology |
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| Online Access: | https://journals.lww.com/10.4103/IJO.IJO_2622_24 |
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| author | Sushmita Kaushik Ashok K Singh Faisal Thattaruthody Sandeep Chaudhary Manik Sardana Srishti Raj Surinder S Pandav |
| author_facet | Sushmita Kaushik Ashok K Singh Faisal Thattaruthody Sandeep Chaudhary Manik Sardana Srishti Raj Surinder S Pandav |
| author_sort | Sushmita Kaushik |
| collection | DOAJ |
| description | Purpose:
To study 1-year outcomes of bent ab-interno needle goniectomy (BANG) with phacoemulsification in patients across the glaucoma spectrum.
Methods:
This Prospective, noncomparative interventional study enrolled primary glaucoma patients (open-angle and angle-closure) with medically controlled intraocular pressure (IOP) and visually significant cataracts who underwent clear corneal phacoemulsification with intraocular lens placement combined with BANG using a 25-gauge needle bent as a reverse cystitome. Patients completing a minimum 1-year post-surgical follow-up were analyzed. The primary outcome was the change in antiglaucoma medications (AGM) required after surgery. Complete and qualified success was defined as IOP between 6 and 21 mm Hg without and with up to two topical AGMs.
Results:
Thirty eyes of 30 patients with a mean age of 60.5 ± 10.3 years were analyzed. The mean baseline IOP was 15.3 ± 3.6 mmHg, and the mean number of topical AGM was 2.6 ± 1.3. Ten patients were on systemic acetazolamide. The topical AGM requirement decreased to 0.60 ± 0.99 (P < 0.0001) and 0.87 ± 1.02 (P < 0.0001) at 6 months and 1 year, respectively. The mean IOP decreased to 13.57 ± 2.79 (P = 0.028) and 14.43 ± 2.92 mmHg (P = 0.11) at 6 months and 1 year, respectively. No patient required oral acetazolamide at the 6-month and 1-year follow-up after surgery. At 1-year, complete and qualified success was seen in 14 eyes each. Six eyes (20%) had an episode of a transient IOP spike, which resolved in 2 weeks, and one eye had hyphema, which resolved by the fourth day. There were no serious complications.
Conclusions:
Phacoemulsification with BANG is an effective and safe procedure for reducing the medication burden in patients with primary glaucoma. |
| format | Article |
| id | doaj-art-11fa5f41a9cf4e678ae8f89e8e07c071 |
| institution | Kabale University |
| issn | 0301-4738 1998-3689 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj-art-11fa5f41a9cf4e678ae8f89e8e07c0712025-08-20T03:44:36ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892025-08-017381190119510.4103/IJO.IJO_2622_24One-year outcomes of Bent ab-interno needle goniectomy with phacoemulsification in primary glaucomaSushmita KaushikAshok K SinghFaisal ThattaruthodySandeep ChaudharyManik SardanaSrishti RajSurinder S PandavPurpose: To study 1-year outcomes of bent ab-interno needle goniectomy (BANG) with phacoemulsification in patients across the glaucoma spectrum. Methods: This Prospective, noncomparative interventional study enrolled primary glaucoma patients (open-angle and angle-closure) with medically controlled intraocular pressure (IOP) and visually significant cataracts who underwent clear corneal phacoemulsification with intraocular lens placement combined with BANG using a 25-gauge needle bent as a reverse cystitome. Patients completing a minimum 1-year post-surgical follow-up were analyzed. The primary outcome was the change in antiglaucoma medications (AGM) required after surgery. Complete and qualified success was defined as IOP between 6 and 21 mm Hg without and with up to two topical AGMs. Results: Thirty eyes of 30 patients with a mean age of 60.5 ± 10.3 years were analyzed. The mean baseline IOP was 15.3 ± 3.6 mmHg, and the mean number of topical AGM was 2.6 ± 1.3. Ten patients were on systemic acetazolamide. The topical AGM requirement decreased to 0.60 ± 0.99 (P < 0.0001) and 0.87 ± 1.02 (P < 0.0001) at 6 months and 1 year, respectively. The mean IOP decreased to 13.57 ± 2.79 (P = 0.028) and 14.43 ± 2.92 mmHg (P = 0.11) at 6 months and 1 year, respectively. No patient required oral acetazolamide at the 6-month and 1-year follow-up after surgery. At 1-year, complete and qualified success was seen in 14 eyes each. Six eyes (20%) had an episode of a transient IOP spike, which resolved in 2 weeks, and one eye had hyphema, which resolved by the fourth day. There were no serious complications. Conclusions: Phacoemulsification with BANG is an effective and safe procedure for reducing the medication burden in patients with primary glaucoma.https://journals.lww.com/10.4103/IJO.IJO_2622_24antiglaucoma medicationbent ab-interno needle goniectomyminimally invasive glaucoma surgeryphaco-bangphacoemulsification-migs |
| spellingShingle | Sushmita Kaushik Ashok K Singh Faisal Thattaruthody Sandeep Chaudhary Manik Sardana Srishti Raj Surinder S Pandav One-year outcomes of Bent ab-interno needle goniectomy with phacoemulsification in primary glaucoma Indian Journal of Ophthalmology antiglaucoma medication bent ab-interno needle goniectomy minimally invasive glaucoma surgery phaco-bang phacoemulsification-migs |
| title | One-year outcomes of Bent ab-interno needle goniectomy with phacoemulsification in primary glaucoma |
| title_full | One-year outcomes of Bent ab-interno needle goniectomy with phacoemulsification in primary glaucoma |
| title_fullStr | One-year outcomes of Bent ab-interno needle goniectomy with phacoemulsification in primary glaucoma |
| title_full_unstemmed | One-year outcomes of Bent ab-interno needle goniectomy with phacoemulsification in primary glaucoma |
| title_short | One-year outcomes of Bent ab-interno needle goniectomy with phacoemulsification in primary glaucoma |
| title_sort | one year outcomes of bent ab interno needle goniectomy with phacoemulsification in primary glaucoma |
| topic | antiglaucoma medication bent ab-interno needle goniectomy minimally invasive glaucoma surgery phaco-bang phacoemulsification-migs |
| url | https://journals.lww.com/10.4103/IJO.IJO_2622_24 |
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