Objective:
To compare surgical success and outcomes of cataract surgery combined with Omni versus Kahook dual blade (KDB) goniotomy in glaucoma patients.
Key Findings:
- Surgical success at postoperative month 18 was 83.1% in the Omni cohort vs. 62.5% in the KDB cohort (P=0.03).
- Omni group showed a reduction of 1.3 glaucoma medications compared to 0.6 in the KDB group, which was statistically significant.
- Both groups had similar rates of postoperative complications (16% Omni vs. 18% KDB).
Interpretation:
The Omni surgical system demonstrated greater surgical success and a more significant reduction in medication use compared to KDB, with comparable IOP reduction and complication rates.
Limitations:
- Short follow-up period.
- Unequal sample size between groups.
- Variability in postoperative management by different surgeons.
Conclusion:
The study suggests that the Omni system may offer superior outcomes in terms of surgical success and medication reduction for glaucoma patients undergoing cataract surgery.
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