GSupraciliary Micro-Stent Revision in a Patient with Corneal Edema and Primary Open Angle Glaucoma (POAG)- A Case Report

Research output: Contribution to journalArticle

Abstract

A 56-year-old Hispanic male with moderate primary open-angle glaucoma (POAG) 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 micro-stent implantation (CyPass, Alcon, TX). Ten weeks postoperatively, he presented with global Descemet's 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 (IOL) 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 (FECD) diagnosed postoperatively may have contributed to the corneal edema that improved after the revision. Disclosure: The authors declare no conflict of interest.

Original languageEnglish (US)
JournalJournal of glaucoma
DOIs
StateAccepted/In press - Jan 1 2019

Fingerprint

Corneal Edema
Stents
Fuchs' Endothelial Dystrophy
Glare
Conflict of Interest
Phacoemulsification
Intraocular Lenses
Disclosure
Anterior Chamber
Iris
Visual Fields
Hispanic Americans
Cataract
Equipment and Supplies
Primary Open Angle Glaucoma
Therapeutics

Keywords

  • combined phacoemulsification and CyPass implantation
  • corneal edema decompensation
  • CyPass implant trimming
  • fuchs corneal dystrophy
  • microinvasive glaucoma surgery

ASJC Scopus subject areas

  • Ophthalmology

Cite this

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title = "GSupraciliary Micro-Stent Revision in a Patient with Corneal Edema and Primary Open Angle Glaucoma (POAG)- A Case Report",
abstract = "A 56-year-old Hispanic male with moderate primary open-angle glaucoma (POAG) 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 micro-stent implantation (CyPass, Alcon, TX). Ten weeks postoperatively, he presented with global Descemet's 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 (IOL) 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 (FECD) diagnosed postoperatively may have contributed to the corneal edema that improved after the revision. Disclosure: The authors declare no conflict of interest.",
keywords = "combined phacoemulsification and CyPass implantation, corneal edema decompensation, CyPass implant trimming, fuchs corneal dystrophy, microinvasive glaucoma surgery",
author = "Wang, {Ye Elaine} and Anat Galor and Junk, {Anna Katharina}",
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N2 - A 56-year-old Hispanic male with moderate primary open-angle glaucoma (POAG) 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 micro-stent implantation (CyPass, Alcon, TX). Ten weeks postoperatively, he presented with global Descemet's 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 (IOL) 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 (FECD) diagnosed postoperatively may have contributed to the corneal edema that improved after the revision. Disclosure: The authors declare no conflict of interest.

AB - A 56-year-old Hispanic male with moderate primary open-angle glaucoma (POAG) 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 micro-stent implantation (CyPass, Alcon, TX). Ten weeks postoperatively, he presented with global Descemet's 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 (IOL) 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 (FECD) diagnosed postoperatively may have contributed to the corneal edema that improved after the revision. Disclosure: The authors declare no conflict of interest.

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