Blood Reflux Through a PreserFlo MicroShunt Device After Needling.
| Autor: | Cassottana P; Clinica Oculistica, Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DiNOGMI), University of Genoa, and IRCCS Ospedale Policlinico San Martino, Genoa, Italy., Di Mola I, Ferro Desideri L, Vagge A, Cutolo CA, Traverso CE, Iester M |
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| Jazyk: | angličtina |
| Zdroj: | Journal of glaucoma [J Glaucoma] 2022 Dec 01; Vol. 31 (12), pp. 979-981. Date of Electronic Publication: 2022 Nov 04. |
| DOI: | 10.1097/IJG.0000000000002091 |
| Abstrakt: | Introduction: To report a case of hyphema after a bleb needling revision in a PreserFlo MicroShunt implantation. Case Description: An 87-year-old man suffering from bilateral open angle glaucoma was referred to our hospital with a diagnosis of unsatisfactory intraocular pressure (IOP) control in the right eye, despite the maximally tolerated medical therapy. The patient underwent PreserFlo MicroShunt implantation in his right eye. About 2 months after the surgical procedure, the IOP was raised because of bleb failure for subconjunctival scarring. A needling revision was performed at the slit lamp. During the procedure blood reflux through a PreserFlo MicroShunt device from a filtering bleb to the anterior chamber was observed, causing an IOP rise. Treatment with oral acetazolamide, topical steroid, and antibiotic resulted in the complete resolution of the hyphema in 2 weeks and a significant lowering in IOP. Conclusions: This is the first reported case of blood reflux to the anterior chamber through a PreserFlo MicroShunt implant after a needling procedure. Competing Interests: Disclosure: The authors declare no conflict of interest. (Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc.) |
| Databáze: | MEDLINE |
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