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Acute iridocyclitis and cystoid macular edema related to kinked Hydrus ® Microstent in advanced glaucoma.

Authors :
Karaca I
Korot E
Ghoraba H
Regenold J
Mobasserian A
Khan Y
Zaidi MH
Or C
Nguyen QD
Source :
Saudi journal of ophthalmology : official journal of the Saudi Ophthalmological Society [Saudi J Ophthalmol] 2022 Dec 27; Vol. 36 (4), pp. 390-393. Date of Electronic Publication: 2022 Dec 27 (Print Publication: 2022).
Publication Year :
2022

Abstract

A 58-year-old male who underwent cataract extraction with combined intraocular lens and Hydrus <superscript>®</superscript> Microstent (Ivantis Inc, Irvine, CA, US) implantation 2 years ago in the right eye (OD) due to advanced glaucoma presented with blurry vision in right eye (OD) for 3 months. The visual acuity was 20/60 and slit-lamp examination indicated mild anterior chamber inflammation with unexposed, functioning tube shunt superotemporally in OD. Optical coherence tomography demonstrated cystoid macular edema (CME) with subretinal fluid. Fluorescein angiography demonstrated petaloid pattern leakage of CME. Gonioscopy revealed a kinked appearance of a Hydrus <superscript>®</superscript> Microstent protruding into the anterior chamber and causing iris chafing. Topical ketorolac tromethamine and prednisolone acetate were started. At the 2 <superscript>nd</superscript> month of follow-up, the anterior chamber was quiet, and the CME resolved completely. Protruded kinked Hydrus <superscript>®</superscript> Microstent may lead to acute iridocyclitis and CME through iris chafing, which may be responsive to topical anti-inflammatory drops.<br />Competing Interests: There are no conflicts of interest.<br /> (Copyright: © 2022 Saudi Journal of Ophthalmology.)

Details

Language :
English
ISSN :
1319-4534
Volume :
36
Issue :
4
Database :
MEDLINE
Journal :
Saudi journal of ophthalmology : official journal of the Saudi Ophthalmological Society
Publication Type :
Report
Accession number :
36618568
Full Text :
https://doi.org/10.4103/sjopt.sjopt_215_21