ABOUT THe KBD Procedure
At Vance Thompson Vision in Fargo, Dr. Greenwood takes great care to select the right treatment for each glaucoma patient to lower intraocular pressure. When new, innovative tools or techniques for glaucoma become available, we do our best to be on the forefront of any treatment that can make our patients lives better. By opening the drainage system up with the Kahook dual blade, our experienced ophthalmologists can improve the natural outflow of aqueous fluids, decrease intraocular pressure, and lower the risk of glaucoma progression (which leads to blindness). The KDB (a single-use blade) has changed the way ophthalmologists perform minimally invasive glaucoma surgery (MIGS) with considerable success.
There are multiple ways to manage glaucoma and our surgeons understand that treatments can range from prescription strength eye drops all the way to a surgical intervention. Before recommending surgery, our ophthalmology team will do their due diligence with comprehensive testing and eye exams, imaging, and more. Once you have a glaucoma treatment plan in place to have a procedure with the KBD, we will go over the pre and post-operative care instructions. Our experienced ophthalmology team and nursing staff will be there with you every step of the way. You can count on us to be your resource for information on managing your glaucoma care. If you have any questions or concerns about your treatment at Vance Thompson Vision, we are here with a listening ear. Learn more about MIGS and discover if KDB is the right choice for you.
"The most professional medical care you’ll ever see! Smart, experienced, caring staff with great attention to detail, treats each person with superb care! Cutting edge technology blended with expertise staff at all levels!"- D.H. / Facebook / Apr 05, 2018
"Dr. Greenwood and the entire team deliver a world class experience with attention to every detail!!"- B.W. / Google / Apr 01, 2018
"Went in to see if they could help my vision, but it turns out they couldn't. They were very honest and supportive. They provided information for other avenues to pursue. ALL of the staff were great!"- C.M. / Facebook / Mar 24, 2018
"I just had my second greatly successful cataract surgery at VTV. My vision is currently 20/20, which enhances my ability to see fine music notation. My experiences were top-notch across the board— I would highly recommend VTV for any ophthalmic need!"- D.L. / Facebook / Mar 21, 2018
"Dr. Greenwood and his entire staff were extremely friendly and caring while remaining professional at the same time. I was kept well-appraised of what was happening on a consistent basis. I especially appreciated a personal call from Dr. Greenwood as well as one from the surgery center a few hours after the surgery just to see how I was feeling. They get a 5-Star rating from me!"- D.W. / Google / Mar 21, 2018
If you have been diagnosed with glaucoma (with or without cataracts), Dr. Greenwood can make the determination if you are a great candidate for the KDB. We advise you to make an appointment for a consultation. Be prepared to review your list of current medications and answer a few questions regarding your medical and family health history. You may not be a qualifying patient if you are not compliant with treatment, require a more elaborate surgery, or have a trabecular meshwork that is out of the surgeon's line of sight.
In our outpatient facility, your pre-operation nurse will prepare you for surgery by starting intravenous fluids and then taken into the operating room. You will also receive some sort of sedation or a general anesthetic (rare) to help you relax, lie on your back comfortably, and feel no pain. KDB treatment begins with a small incision in the cornea. With the eye inflated, your surgeon will then insert the KDB to remove a section of the trabecular meshwork (at the base of the cornea). Ultimately, the goal is to improve the eye's ability to drain easily and consequently lowering the intraocular pressure. Your incision will have some sutures. After the surgery, you will be discharged with a bandaged and/or patch covering the eye.
What to Expect
Immediately following your KDB procedure, you may resume normal, day-to-day activities. It is important to remember that the best treatment for glaucoma is consistency, so you will need to continue visiting your eye doctor at least every six months. It is also very important to maintain your medications and aftercare instructions so that when you see your eye care provider, you can discuss your progress and any changes to your treatment (as needed).
Experience Advanced Tools
When you are discussing your glaucoma with your eye care provider, it is always a good idea to have information on the tools and techniques of your treatment. At Vance Thompson Vision, we would be happy to discuss your intraocular pressure and if a surgery using the KBD is appropriate for your case. Call and schedule an appointment in Fargo, ND and ask about the possibilities, risks, and benefits of having MIGS with this innovative tool.