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Abstract #106475 Published in IGR 23-3
A simple surgical solution for the treatment of persistent postoperative hypotony after PRESERFLO MicroShunt implantation
Aguilar-Munoa S; Tham YH; Barton KEye 2023; 37: 2126-2129
BACKGROUND/OBJECTIVES: PRESERFLO MicroShunt implantation is a relatively new and increasingly popular treatment for recalcitrant glaucoma. Though relatively uncommon, persistent or severe postoperative hypotony may occur and its treatment presents a significant challenge. SUBJECTS/METHODS: Interventional case series of the first 7 consecutive patients who underwent the insertion of a rip-cord suture to treat severe or persistent postoperative hypotony. RESULTS: In 6 patients, the hypotony resolved and vision was restored. The 7 patient had suffered a severe suprachoroidal haemorrhage with a poor visual recovery and limited follow-up, so success was more difficult to assess. CONCLUSIONS: Stenting the PRESERFLO MicroShunt with a rip-cord suture is a simple technique to correct persistent or severe postoperative hypotony.
Moorfields Eye Hospital NHS Foundation Trust, London, UK. solaguilarmunoa@gmail.com.
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