Hirabayashi MT, et al. - In this retrospective review, researchers characterized 6-month rates of achieving target IOP in patients with severe-stage glaucoma without requiring additional glaucoma surgery after excisional goniotomy using the Kahook Dual Blade combined with phacoemulsification (phaco-KDB). The study sample consisted of 42 eyes from 36 patients with severe glaucoma who received phaco-KDB. Following phaco-KDB, patients with severe-stage open-angle glaucoma achieved significant IOP and medication reductions. In particular, at 6 months, about two-thirds of the eyes achieved an IOP of ≤15 mmHg without additional glaucoma procedures. There have been rare complications and additional procedures needed. In many patients with severe glaucoma, phaco-KDB may be an effective and safe alternative to more invasive filtering surgery.