@article{afeef88f30d34b3688a94438d4a5e2b3,
title = "Supraciliary Microstent Revision in a Patient with Corneal Edema and Primary Open Angle Glaucoma: A Case Report",
abstract = "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.",
keywords = "CyPass implant trimming, Fuchs corneal dystrophy, combined phacoemulsification and CyPass implantation, corneal edema decompensation, microinvasive glaucoma surgery",
author = "Wang, {Ye Elaine} and Anat Galor and Junk, {Anna K.}",
note = "Funding Information: Received for publication June 5, 2019; accepted October 30, 2019. From the *Bascom Palmer Eye Institute, University of Miami; ‡Miami Veterans Affairs Healthcare System, Miami, FL; and †Harvard Eye Associates, Laguna Hills, CA. Supported by NIH Center Core Grant P30EY014801, Research to Pre-vent Blindness Unrestricted Grant. Disclosure: The authors declare no conflict of interest. Reprints: Anna K. Junk, MD, Bascom Palmer Eye Institute, 900 NW 17th Street, Miami, FL 33136 (e-mail: ajunk@med.miami.edu). Supplemental Digital Content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal{\textquoteright}s website, www. glaucomajournal.com. Copyright {\textcopyright} 2019 Wolters Kluwer Health, Inc. All rights reserved. DOI: 10.1097/IJG.0000000000001407 Funding Information: Supported by NIH Center Core Grant P30EY014801, Research to Prevent Blindness Unrestricted Grant Publisher Copyright: Copyright {\textcopyright} 2019 Wolters Kluwer Health, Inc. All rights reserved.",
year = "2020",
month = jan,
day = "1",
doi = "10.1097/IJG.0000000000001407",
language = "English (US)",
volume = "29",
pages = "E3--E6",
journal = "Journal of Glaucoma",
issn = "1057-0829",
publisher = "Lippincott Williams and Wilkins",
number = "1",
}