Trabecular Micro-Bypass Stent Use in Necrotizing Scleritis

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Abstract

Purpose:

In this case report, we describe the successful implantation of multiple trabecular micro-bypass iStents in a patient with necrotizing scleritis.

Design:

The study design is a case report.

Participants:

The participant was a patient who underwent multiple micro-bypass iStent surgery.

Methods:

A 71-year-old man with primary open-angle glaucoma, diagnosed with necrotizing scleritis and treated with steroids consequently resulting in significantly elevated intraocular pressure in the right eye.

Results:

Following uncomplicated surgery, IOP was reduced from 42 to 12 mm Hg 18 months after surgery on 2 drops and prednisone 40 mg daily

Conclusions:

iStents may be considered as a possible intervention to lower IOP in patients with necrotizing scleritis in whom traditional glaucoma surgery is challenging or contraindicated.

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