{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T07:50:23Z","timestamp":1791359423404,"version":"4.3.1"},"reference-count":30,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","license":[{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To compare safety and efficacy of gonioscopy-assisted transluminal trabeculotomy (GATT) versus Kahook dual blade (KDB) with phacoemulsification in eyes with primary open angle glaucoma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This retrospective comparative study included 122 eyes\u201461 in GATT-Phaco group (Group 1) and 61 in KDB-Phaco group (Group 2). Baseline parameters including intraocular pressure (IOP), best-corrected visual acuity, and number of anti-glaucoma medications (AGMs) were compared across visits at 2 weeks and 1, 3, 6, and 12 months. Surgical success was defined as IOP \u226421\/\u226418\/\u226415 mmHg with &gt;20%\/25%\/30% reduction from baseline (Criteria 1,2,3). Postoperative complications, secondary interventions, and surgical risk factors were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The mean (SD) IOP (mmHg) decreased from 21.15 \u00b1 3.76 to 13.20 \u00b1 3.21 in Group 1 and 22.90 \u00b1 4.05 to 14.44 \u00b1 5.01 in group 2 at 12 months, with no significant difference between groups (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.100). AGM reduced from 1.64 \u00b1 0.84 to 0.08 \u00b1 0.28 and 1.67 \u00b1 0.77 to 0.08 \u00b1 0.38 in groups 1 and 2, respectively, at 12 months (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &gt; 0.99). By criteria 1, 2, and 3, the overall success was 85.3%, 78.7%, and 60.7% in Group 1 and 86.9%, 83.6%, and 70.5% in Group 2, respectively. Micro hyphemas were observed in 28 patients (20 in group 1, 8 in group 2), macro hyphemas in 4 patients of group 1 (2 requiring AC wash) and transient IOP spikes in 6 patients (4 in group 1, 2 in group 2).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Both GATT and KDB achieved significant reductions in intraocular pressure and anti-glaucoma medication use at 12 months, with KDB demonstrating equivalent efficacy to 360\u00b0 suture trabeculotomy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_2747_25","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T14:04:09Z","timestamp":1790690649000},"page":"1467-1472","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of surgical outcomes of suture gonioscopy-assisted transluminal trabeculotomy versus excisional goniotomy with Kahook dual blade at 12 months"],"prefix":"10.4103","volume":"74","author":[{"given":"Devendra","family":"Maheshwari","sequence":"first","affiliation":[{"name":"Department of Glaucoma and Biostatistics, Aravind Eye Hospital and Post-Graduate Institute of Ophthalmology, Tirunelveli, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nimrita G","family":"Nagdev","sequence":"additional","affiliation":[{"name":"Department of Glaucoma and Biostatistics, Aravind Eye Hospital and Post-Graduate Institute of Ophthalmology, Tirunelveli, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kalyani","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Glaucoma, Aravind Eye Hospital and Post-Graduate Institute of Ophthalmology, Tirunelveli, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madhavi R","family":"Pillai","sequence":"additional","affiliation":[{"name":"Department of Glaucoma and Biostatistics, Aravind Eye Hospital and Post-Graduate Institute of Ophthalmology, Tirunelveli, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Davinder S","family":"Grover","sequence":"additional","affiliation":[{"name":"Department of Glaucoma, Glaucoma Associates of Texas, Dallas, Texas, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed U","family":"Sithiq","sequence":"additional","affiliation":[{"name":"Department of Glaucoma and Biostatistics, Aravind Eye Hospital and Post-Graduate Institute of Ophthalmology, Tirunelveli, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rengappa","family":"Ramakrishnan","sequence":"additional","affiliation":[{"name":"Department of Glaucoma and Biostatistics, Aravind Eye Hospital and Post-Graduate Institute of Ophthalmology, Tirunelveli, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,9,29]]},"reference":[{"key":"R1-20261007","doi-asserted-by":"crossref","first-page":"1393","DOI":"10.1016\/j.ophtha.2021.04.009","article-title":"The global extent of undetected glaucoma in adults: A systematic review and meta-analysis","volume":"128","author":"Soh","year":"2021","journal-title":"Ophthalmology"},{"key":"R2-20261007","doi-asserted-by":"crossref","first-page":"2081","DOI":"10.1016\/j.ophtha.2014.05.013","article-title":"Global prevalence of glaucoma and projections of glaucoma burden through 2040: A systematic review and meta-analysis","volume":"121","author":"Tham","year":"2014","journal-title":"Ophthalmology"},{"key":"R3-20261007","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1016\/j.survophthal.2019.08.002","article-title":"A review of aqueous outflow resistance and its relevance to microinvasive glaucoma surgery","volume":"65","author":"Andrew","year":"2020","journal-title":"Surv Ophthalmol"},{"key":"R4-20261007","doi-asserted-by":"crossref","first-page":"51","DOI":"10.5005\/jp-journals-10008-1184","article-title":"Surgery on the trabecular meshwork: Histopathological evidence","volume":"9","author":"Bhartiya","year":"2015","journal-title":"J Curr Glaucoma Pract"},{"key":"R5-20261007","doi-asserted-by":"crossref","first-page":"2219","DOI":"10.2147\/OPTH.S308228","article-title":"Success of primary trabeculectomy in advanced open-angle glaucoma","volume":"15","author":"Pantalon","year":"2021","journal-title":"Clin Ophthalmol"},{"key":"R6-20261007","doi-asserted-by":"crossref","first-page":"712","DOI":"10.1016\/j.ophtha.2011.09.049","article-title":"Outcomes and bleb-related complications of trabeculectomy","volume":"119","author":"Jampel","year":"2012","journal-title":"Ophthalmology"},{"key":"R7-20261007","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1016\/j.ogla.2021.10.011","article-title":"Reoperation rates and disease costs for primary open-angle glaucoma patients in the United States treated with incisional glaucoma surgery","volume":"5","author":"Craven","year":"2022","journal-title":"Ophthalmol Glaucoma"},{"key":"R8-20261007","doi-asserted-by":"crossref","first-page":"85","DOI":"10.22336\/rjo.2020.18","article-title":"Evaluating glaucoma surgeries in the MIGS context","volume":"64","author":"Dhingra","year":"2020","journal-title":"Rom J Ophthalmol"},{"key":"R9-20261007","doi-asserted-by":"crossref","first-page":"e0183142","DOI":"10.1371\/journal.pone.0183142","article-title":"Minimally-invasive glaucoma surgeries (MIGS) for open angle glaucoma: A systematic review and meta-analysis","volume":"12","author":"Lavia","year":"2017","journal-title":"PLoS One"},{"key":"R10-20261007","first-page":"189","article-title":"Minimally invasive glaucoma surgery: Current status and future prospects","volume":"10","author":"Richter","year":"2016","journal-title":"Clin Ophthalmol"},{"key":"R11-20261007","doi-asserted-by":"crossref","first-page":"54","DOI":"10.3390\/vision7030054","article-title":"Minimally invasive glaucoma surgery: A review of the literature","volume":"7","author":"Balas","year":"2023","journal-title":"Vision (Basel)"},{"key":"R12-20261007","doi-asserted-by":"crossref","first-page":"2531","DOI":"10.3390\/jcm14072531","article-title":"Visual function after Schlemm\u2019s canal-based MIGS","volume":"14","author":"Kasahara","year":"2025","journal-title":"J Clin Med"},{"key":"R13-20261007","doi-asserted-by":"crossref","first-page":"2017","DOI":"10.2147\/OPTH.S208468","article-title":"Comparison of surgical outcomes of 360\u00b0 circumferential trabeculotomy versus sectoral excisional goniotomy with the Kahook dual blade at 6 months","volume":"13","author":"Hirabayashi","year":"2019","journal-title":"Clin Ophthalmol"},{"key":"R14-20261007","doi-asserted-by":"crossref","first-page":"855","DOI":"10.1016\/j.ophtha.2013.11.001","article-title":"Gonioscopy-assisted transluminal trabeculotomy, ab interno trabeculotomy: Technique report and preliminary results","volume":"121","author":"Grover","year":"2014","journal-title":"Ophthalmology"},{"key":"R15-20261007","doi-asserted-by":"crossref","first-page":"1092","DOI":"10.1136\/bjophthalmol-2014-306269","article-title":"Gonioscopy assisted transluminal trabeculotomy: An ab interno circumferential trabecu lotomy for the treatment of primary congenital glaucoma and juvenile open angle glaucoma","volume":"99","author":"Grover","year":"2015","journal-title":"Br J Ophthalmol"},{"key":"R16-20261007","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1097\/IJG.0000000000000325","article-title":"Gonioscopy-assisted transluminal trabeculotomy (GATT): Thermal suture modification with a dye-stained rounded tip","volume":"25","author":"Grover","year":"2016","journal-title":"J Glaucoma"},{"key":"R17-20261007","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1097\/IJG.0000000000000956","article-title":"Gonioscopy-assisted transluminal trabeculotomy: An ab interno circumferential trabeculotomy: 24 months follow-up","volume":"27","author":"Grover","year":"2018","journal-title":"J Glaucoma"},{"key":"R18-20261007","doi-asserted-by":"crossref","first-page":"1354","DOI":"10.3390\/jcm11051354","article-title":"Long-term outcomes of a Kahook Dual Blade procedure combined with phacoemulsification in Japanese patients with open-angle glaucoma","volume":"11","author":"Iwasaki","year":"2022","journal-title":"J Clin Med"},{"key":"R19-20261007","doi-asserted-by":"crossref","first-page":"1460","DOI":"10.1007\/s12325-018-0755-4","article-title":"12-Month outcomes of goniotomy performed using the Kahook dual blade combined with cataract surgery in eyes with medically treated glaucoma","volume":"35","author":"Dorairaj","year":"2018","journal-title":"Adv Ther"},{"key":"R20-20261007","doi-asserted-by":"crossref","first-page":"e89","DOI":"10.1097\/IJG.0000000000001210","article-title":"Kahook dual blade (KDB) in severe and refractory glaucoma","volume":"28","author":"Mansoori","year":"2019","journal-title":"J Glaucoma"},{"key":"R21-20261007","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1186\/s12886-021-02159-z","article-title":"Gonioscopy-assisted transluminal trabeculotomy versus goniotomy with Kahook dual blade in patients with uncontrolled juvenile open-angle glaucoma: A retrospective study","volume":"21","author":"Qiao","year":"2021","journal-title":"BMC Ophthalmol"},{"key":"R22-20261007","doi-asserted-by":"crossref","first-page":"791","DOI":"10.2147\/OPTH.S158403","article-title":"A multicenter retrospective comparison of goniotomy versus trabecular bypass device implantation in glaucoma patients undergoing cataract extraction","volume":"12","author":"Dorairaj","year":"2018","journal-title":"Clin Ophthalmol"},{"key":"R23-20261007","article-title":"Comparative analysis of efficacy and safety between partial and complete gonioscopy-assisted transluminal trabeculotomy for open-angle glaucoma","author":"Gunay","year":"2025","journal-title":"Acta Ophthalmol"},{"key":"R24-20261007","doi-asserted-by":"crossref","first-page":"884","DOI":"10.1097\/IJG.0000000000001331","article-title":"Surgical outcomes of Prolene gonioscopy-assisted transluminal trabeculotomy in patients with moderate to advanced open-angle glaucoma","volume":"28","author":"Aktas","year":"2019","journal-title":"J Glaucoma"},{"key":"R25-20261007","doi-asserted-by":"crossref","first-page":"1258","DOI":"10.1038\/s41433-022-02087-2","article-title":"Gonioscopy-assisted transluminal trabeculotomy combined with phacoemulsification: Outcomes at 2-year follow-up","volume":"37","author":"Wan","year":"2023","journal-title":"Eye (Lond)"},{"key":"R26-20261007","first-page":"230","article-title":"Realworld outcomes of Kahook Dual Blade goniotomy in Black and Afro-Latinx adult patients with glaucoma: A 6-month retrospective study","volume":"113","author":"Laroche","year":"2021","journal-title":"J Natl Med Assoc"},{"key":"R27-20261007","doi-asserted-by":"crossref","first-page":"1385","DOI":"10.2147\/OPTH.S409375","article-title":"Kahook Dual-Blade goniotomy with and without phacoemulsification in medically uncontrolled glaucoma","volume":"17","author":"Barkander","year":"2023","journal-title":"Clin Ophthalmol"},{"key":"R28-20261007","doi-asserted-by":"crossref","first-page":"903","DOI":"10.1097\/IJG.0000000000002099","article-title":"Outcomes of Kahook dual blade goniotomy for uveitis-associated open-angle glaucoma or ocular hypertension","volume":"31","author":"Miller","year":"2022","journal-title":"J Glaucoma"},{"key":"R29-20261007","doi-asserted-by":"crossref","first-page":"1293","DOI":"10.4103\/IJO.IJO_82_25","article-title":"A prospective study of efficacy and safety of Kahook dual blade (KDB) glide in Indian patients with glaucoma","volume":"73","author":"Bhumbla","year":"2025","journal-title":"Indian J Ophthalmol"},{"key":"R30-20261007","doi-asserted-by":"crossref","first-page":"2731","DOI":"10.1007\/s40123-024-01016-8","article-title":"Clinical outcomes of excisional goniotomy with the Kahook Dual Blade: 6-year results","volume":"13","author":"Vasu","year":"2024","journal-title":"Ophthalmol Ther"}],"container-title":["Indian Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_2747_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T07:00:16Z","timestamp":1791356416000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_2747_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,29]]},"references-count":30,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_2747_25","relation":{},"ISSN":["0301-4738","1998-3689"],"issn-type":[{"value":"0301-4738","type":"print"},{"value":"1998-3689","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,29]]},"assertion":[{"value":"2025-10-28","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-12","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}