Retrospective Study of 2-year Clinical Outcomes of Combination Ab-Interno Canaloplasty and a Microstent Compared to Ab-Interno Canaloplasty in Cataract Surgery Patients
Valerie Trubnik,1 Lucy Huang,1 Brad Hall2 1Ophthalmic Consultants of Long Island, Manhasset, NY, USA; 2Sengi, Penniac, NB, CanadaCorrespondence: Valerie Trubnik, Ophthalmic Consultants of Long Island, 1355 Northern Boulevard, Suite 300, Manhasset, NY, 11030, USA, Tel +1 516-627-3232, Email valerietr...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2025-06-01
|
| Series: | Clinical Ophthalmology |
| Subjects: | |
| Online Access: | https://www.dovepress.com/retrospective-study-of-2-year-clinical-outcomes-of-combination-ab-inte-peer-reviewed-fulltext-article-OPTH |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849433611184373760 |
|---|---|
| author | Trubnik V Huang L Hall B |
| author_facet | Trubnik V Huang L Hall B |
| author_sort | Trubnik V |
| collection | DOAJ |
| description | Valerie Trubnik,1 Lucy Huang,1 Brad Hall2 1Ophthalmic Consultants of Long Island, Manhasset, NY, USA; 2Sengi, Penniac, NB, CanadaCorrespondence: Valerie Trubnik, Ophthalmic Consultants of Long Island, 1355 Northern Boulevard, Suite 300, Manhasset, NY, 11030, USA, Tel +1 516-627-3232, Email valerietrubnik@yahoo.comPurpose: To evaluate the postoperative outcomes of patients undergoing cataract surgery, OMNI canaloplasty, and Hydrus Microstent implantation compared to patients undergoing cataract surgery with OMNI canaloplasty alone.Methods: This was a retrospective, single surgeon study. Eligible charts were from adults that had a diagnosis of mild to moderate primary open angle glaucoma and preoperative mild to moderate visual field loss. Outcome measures included mean number of ocular hypotensive medication prescribed, intraocular pressure (IOP), number of glaucoma secondary surgical interventions (SSI), and visual field mean deviation and pattern standard deviation. Data were collected up to 24 months postoperatively.Results: The chart review has identified 45 eyes in the Hydrus/OMNI Group and 35 eyes in the OMNI Group. The mean number of glaucoma medications improved from 2.9 preoperatively to 2.1 at 24 months postoperatively in the Hydrus/OMNI Group compared to 1.9 preoperatively to 1.6 at 24 months postoperatively in the OMNI Group. Mean postoperative IOP was stable in both groups.Conclusion: The results of this study suggest that after both combination cataract, Hydrus Microstent/OMNI surgery and combination cataract and OMNI surgery, the number of glaucoma medications was reduced for 2 years postoperatively, but the reduction was not significantly different between groups.Plain Language Summary: The progression of glaucoma is strongly linked to intraocular pressure (IOP). As such, treatments tend to focus on lowering IOP, such as microinvasive glaucoma surgery (MIGS). The Hydrus Microstent and the OMNI canaloplasty procedures are both MIGS procedures that are considered less invasive that traditional glaucoma surgeries, with faster visual recovery, and can result in less serious complications. Combining these two MIGS procedures may also be useful in avoiding future potentially riskier surgeries. However, there are minimal data on the effectiveness of these combined MIGS procedures in patients undergoing cataract surgery. The purpose of this study was to evaluate the postoperative outcomes of patients undergoing cataract surgery, OMNI canaloplasty, and Hydrus implantation compared to patients undergoing cataract surgery with OMNI canaloplasty alone. The results of this study suggest that after both combination cataract, Hydrus Microstent/OMNI surgery and combination cataract and OMNI surgery, the number of glaucoma medications is reduced for 2 years postoperatively, but the reduction was not significantly different between groups. Results also suggest that IOP was stable in both groups over the same period.Keywords: Hydrus microstent, MIGS, glaucoma, OMNI |
| format | Article |
| id | doaj-art-3ced0cc9124e4af4a5ebe423805859f4 |
| institution | Kabale University |
| issn | 1177-5483 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Clinical Ophthalmology |
| spelling | doaj-art-3ced0cc9124e4af4a5ebe423805859f42025-08-20T03:26:57ZengDove Medical PressClinical Ophthalmology1177-54832025-06-01Volume 19Issue 119911997104213Retrospective Study of 2-year Clinical Outcomes of Combination Ab-Interno Canaloplasty and a Microstent Compared to Ab-Interno Canaloplasty in Cataract Surgery PatientsTrubnik V0Huang L1Hall B2OphthalmologyOphthalmology/OptometryClinical ResearchValerie Trubnik,1 Lucy Huang,1 Brad Hall2 1Ophthalmic Consultants of Long Island, Manhasset, NY, USA; 2Sengi, Penniac, NB, CanadaCorrespondence: Valerie Trubnik, Ophthalmic Consultants of Long Island, 1355 Northern Boulevard, Suite 300, Manhasset, NY, 11030, USA, Tel +1 516-627-3232, Email valerietrubnik@yahoo.comPurpose: To evaluate the postoperative outcomes of patients undergoing cataract surgery, OMNI canaloplasty, and Hydrus Microstent implantation compared to patients undergoing cataract surgery with OMNI canaloplasty alone.Methods: This was a retrospective, single surgeon study. Eligible charts were from adults that had a diagnosis of mild to moderate primary open angle glaucoma and preoperative mild to moderate visual field loss. Outcome measures included mean number of ocular hypotensive medication prescribed, intraocular pressure (IOP), number of glaucoma secondary surgical interventions (SSI), and visual field mean deviation and pattern standard deviation. Data were collected up to 24 months postoperatively.Results: The chart review has identified 45 eyes in the Hydrus/OMNI Group and 35 eyes in the OMNI Group. The mean number of glaucoma medications improved from 2.9 preoperatively to 2.1 at 24 months postoperatively in the Hydrus/OMNI Group compared to 1.9 preoperatively to 1.6 at 24 months postoperatively in the OMNI Group. Mean postoperative IOP was stable in both groups.Conclusion: The results of this study suggest that after both combination cataract, Hydrus Microstent/OMNI surgery and combination cataract and OMNI surgery, the number of glaucoma medications was reduced for 2 years postoperatively, but the reduction was not significantly different between groups.Plain Language Summary: The progression of glaucoma is strongly linked to intraocular pressure (IOP). As such, treatments tend to focus on lowering IOP, such as microinvasive glaucoma surgery (MIGS). The Hydrus Microstent and the OMNI canaloplasty procedures are both MIGS procedures that are considered less invasive that traditional glaucoma surgeries, with faster visual recovery, and can result in less serious complications. Combining these two MIGS procedures may also be useful in avoiding future potentially riskier surgeries. However, there are minimal data on the effectiveness of these combined MIGS procedures in patients undergoing cataract surgery. The purpose of this study was to evaluate the postoperative outcomes of patients undergoing cataract surgery, OMNI canaloplasty, and Hydrus implantation compared to patients undergoing cataract surgery with OMNI canaloplasty alone. The results of this study suggest that after both combination cataract, Hydrus Microstent/OMNI surgery and combination cataract and OMNI surgery, the number of glaucoma medications is reduced for 2 years postoperatively, but the reduction was not significantly different between groups. Results also suggest that IOP was stable in both groups over the same period.Keywords: Hydrus microstent, MIGS, glaucoma, OMNIhttps://www.dovepress.com/retrospective-study-of-2-year-clinical-outcomes-of-combination-ab-inte-peer-reviewed-fulltext-article-OPTHHydrus microstentMIGSglaucomaOMNI |
| spellingShingle | Trubnik V Huang L Hall B Retrospective Study of 2-year Clinical Outcomes of Combination Ab-Interno Canaloplasty and a Microstent Compared to Ab-Interno Canaloplasty in Cataract Surgery Patients Clinical Ophthalmology Hydrus microstent MIGS glaucoma OMNI |
| title | Retrospective Study of 2-year Clinical Outcomes of Combination Ab-Interno Canaloplasty and a Microstent Compared to Ab-Interno Canaloplasty in Cataract Surgery Patients |
| title_full | Retrospective Study of 2-year Clinical Outcomes of Combination Ab-Interno Canaloplasty and a Microstent Compared to Ab-Interno Canaloplasty in Cataract Surgery Patients |
| title_fullStr | Retrospective Study of 2-year Clinical Outcomes of Combination Ab-Interno Canaloplasty and a Microstent Compared to Ab-Interno Canaloplasty in Cataract Surgery Patients |
| title_full_unstemmed | Retrospective Study of 2-year Clinical Outcomes of Combination Ab-Interno Canaloplasty and a Microstent Compared to Ab-Interno Canaloplasty in Cataract Surgery Patients |
| title_short | Retrospective Study of 2-year Clinical Outcomes of Combination Ab-Interno Canaloplasty and a Microstent Compared to Ab-Interno Canaloplasty in Cataract Surgery Patients |
| title_sort | retrospective study of 2 year clinical outcomes of combination ab interno canaloplasty and a microstent compared to ab interno canaloplasty in cataract surgery patients |
| topic | Hydrus microstent MIGS glaucoma OMNI |
| url | https://www.dovepress.com/retrospective-study-of-2-year-clinical-outcomes-of-combination-ab-inte-peer-reviewed-fulltext-article-OPTH |
| work_keys_str_mv | AT trubnikv retrospectivestudyof2yearclinicaloutcomesofcombinationabinternocanaloplastyandamicrostentcomparedtoabinternocanaloplastyincataractsurgerypatients AT huangl retrospectivestudyof2yearclinicaloutcomesofcombinationabinternocanaloplastyandamicrostentcomparedtoabinternocanaloplastyincataractsurgerypatients AT hallb retrospectivestudyof2yearclinicaloutcomesofcombinationabinternocanaloplastyandamicrostentcomparedtoabinternocanaloplastyincataractsurgerypatients |