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iStent Inject Versus Goniotomy With Kahook Dual Blade in Glauocma Treatment

iStent Inject Versus Goniotomy With Kahook Dual Blade in Glauocma Treatment

Recruiting
18 years and older
All
Phase N/A

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Overview

The purpose of the study is to investigate the efficacy of cataract surgery in combination with Kahook Dual Blade Glide goniotomy (KDB) or iStent Inject W Trabecular Microbypass Stent (Istent) in eyes with Open-angle glaucoma.

Description

Glaucoma patients with significant cataract are being informed about the study and potential risks, all participants giving written informed consent and meeting the criteria will become eligibility for study entry. Participants meeting the eligible requirements will be randomized to Cataract Surgery combined with Kahook Dual Blade Glide (50 patients) or iStent Inject W (50 patients).

Eligibility

Inclusion Criteria:

  • Only one eye per participant
  • Clinically significant cataract
  • Glaucoma or intraocular hypertension treated with one to four medications and no need for filtering glaucoma surgery at the time of study enrollment.
  • Open chamber angle with Schaffer grading three to four in at least two quadrants

Exclusion Criteria:

  • Previous glaucoma surgery, including cyclodestructive procedures.
  • Selective Laser Trabeculoplasty (SLT) within 90 days prior to planned surgery.
  • Exudative age-related macular degeneration, proliferative diabetic retinopathy, clinically significant corneal dystrophy, other eye disease that affect intraocular eye pressure or visual field.
  • Unable to participate and make written consent due to another medical condition.

Study details
    Open Angle Glaucoma (OAG)

NCT07325552

Medical University of Bialystok

1 February 2026

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