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.
"Best staff and care on earth!"- T.B. / Facebook / Jun 19, 2019
"Both my husband and myself received the services of Dr. Greenwood, one year apart. Our experience has been excellent. We both had lenses placed at the time of our cataract surgery so we would not need to wear glasses and are extremely happy with the results. I also needed stents placed to address my condition of high pressures in my eyes and to avoid problems with glaucoma. The only issue I encountered following my surgery was with the eyesight in one eye that was not “as sharp” as Dr. Greenwood felt it should be. With one simple procedure he was able to get the vision 20/20 in that eye also. From our initial clinic visit, the kindness of everyone from front desk clerks and examining nurses through the surgical procedures, and then the follow up call to inquire how we were doing from Dr. Greenwood himself the evening of our surgeries, we couldn’t be more satisfied or happy with the results and have recommended Dr. Greenwood to others."- N.R. / Healthgrades / Aug 20, 2020
"A-1 group of people that can help you! Cataract surgery to come. 🙏"- B.S. / Facebook / Sep 03, 2020
"Staff was very provisional & Friendly! Very satisfied with end results!"- A.B. / Facebook / Aug 24, 2020
"My experience was the best my out come was great and so was my husband. Every one professional and kind and on time.😊"- J.B. / Facebook / Aug 24, 2020
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.