Supraciliary Microstent Revision in a Patient With Corneal Edema and Primary Open Angle Glaucoma: A Case Report

被引:0
|
作者
Wang, Ye Elaine [1 ,3 ]
Galor, Anat [1 ,2 ]
Junk, Anna K. [1 ,2 ]
机构
[1] Univ Miami, Bascom Palmer Eye Inst, Miami, FL USA
[2] Miami Vet Affairs Healthcare Syst, Miami, FL USA
[3] Harvard Eye Associates, Laguna Hills, CA USA
关键词
CyPass implant trimming; combined phacoemulsification and CyPass implantation; corneal edema decompensation; Fuchs corneal dystrophy; microinvasive glaucoma surgery;
D O I
10.1097/IJG.0000000000001407
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
A 56-year-old Hispanic male individual with moderate primary open-angle glaucoma on maximal tolerated topical therapy with recent visual field progression presented with excessive glare due to cataract in the right eye. The patient underwent uncomplicated phacoemulsification with supraciliary microstent implantation. Ten weeks postoperatively, he presented with global Descemet folds and focal corneal edema overlying the CyPass implant despite apparent adequate implant position (1 retention ring visible). The revision proved challenging as the anterior chamber portion of the implant was short. Nonetheless, the device was trimmed under gonioscopic view using intraocular lens cutting scissors and a Sinskey hook. Postoperatively, the implant was flush with the iris root with a patent lumen. Bilateral global guttae indicating unrecognized Fuchs endothelial corneal dystrophy diagnosed postoperatively may have contributed to the corneal edema that improved after the revision.
引用
收藏
页码:E3 / E6
页数:4
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