Article ; Online: Blood Reflux Through a PreserFlo MicroShunt Device After Needling.
2022 Volume 31, Issue 12, Page(s) 979–981
Abstract: 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 ... ...
| Abstract | 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. |
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| MeSH term(s) | Aged, 80 and over ; Humans ; Male ; Glaucoma, Open-Angle/diagnosis ; Glaucoma, Open-Angle/surgery ; Hyphema ; Intraocular Pressure ; Tonometry, Ocular ; Trabeculectomy/methods |
| Language | English |
| Publishing date | 2022-11-04 |
| Publishing country | United States |
| Document type | Case Reports ; Journal Article |
| ZDB-ID | 913494-3 |
| ISSN | 1536-481X ; 1057-0829 |
| ISSN (online) | 1536-481X |
| ISSN | 1057-0829 |
| DOI | 10.1097/IJG.0000000000002091 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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