Tube obstruction caused by intraocular lens capture following PreserFlo MicroShunt implantation

Purpose: We describe a rare case of tube obstruction caused by intraocular lens (IOL) capture following a PreserFlo MicroShunt (PMS) surgery and its subsequent management. Observations: Tube obstruction was noted following PMS implantation at 8 days postoperatively. The intraocular pressure (IOP) in...

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Main Authors: Kentaro Iwasaki, Shogo Arimura, Masaru Inatani
Format: Article
Language:English
Published: Elsevier 2024-03-01
Series:American Journal of Ophthalmology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2451993623001597
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author Kentaro Iwasaki
Shogo Arimura
Masaru Inatani
author_facet Kentaro Iwasaki
Shogo Arimura
Masaru Inatani
author_sort Kentaro Iwasaki
collection DOAJ
description Purpose: We describe a rare case of tube obstruction caused by intraocular lens (IOL) capture following a PreserFlo MicroShunt (PMS) surgery and its subsequent management. Observations: Tube obstruction was noted following PMS implantation at 8 days postoperatively. The intraocular pressure (IOP) increased to 42 mmHg because of tube occlusion that was caused by iris and IOL capture at the tip of the tube. The occlusion was released surgically to free the lumen, and the IOP rapidly decreased to 14 mmHg. Conclusions and importance: IOP elevation due to tube obstruction caused by iris and IOL capture after PMS surgery was resolved by surgical intervention without tube reinsertion. Extra care is required regarding the IOL position in relation to the PMS tube when hypotony occurs in the early postoperative period.
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spelling doaj.art-d7bcd49e76b744169b79045c25b294b32024-02-21T05:29:09ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362024-03-0133101951Tube obstruction caused by intraocular lens capture following PreserFlo MicroShunt implantationKentaro Iwasaki0Shogo Arimura1Masaru Inatani2Department of Ophthalmology, Faculty of Medical Sciences, University of Fukui, Fukui, JapanDepartment of Ophthalmology, Faculty of Medical Sciences, University of Fukui, Fukui, JapanCorresponding author. Department of Ophthalmology, Faculty of Medical Sciences, University of Fukui, 23-3 Shimoaizuki, Matsuoka, Eiheiji, Yoshida, Fukui 910-1193, Japan.; Department of Ophthalmology, Faculty of Medical Sciences, University of Fukui, Fukui, JapanPurpose: We describe a rare case of tube obstruction caused by intraocular lens (IOL) capture following a PreserFlo MicroShunt (PMS) surgery and its subsequent management. Observations: Tube obstruction was noted following PMS implantation at 8 days postoperatively. The intraocular pressure (IOP) increased to 42 mmHg because of tube occlusion that was caused by iris and IOL capture at the tip of the tube. The occlusion was released surgically to free the lumen, and the IOP rapidly decreased to 14 mmHg. Conclusions and importance: IOP elevation due to tube obstruction caused by iris and IOL capture after PMS surgery was resolved by surgical intervention without tube reinsertion. Extra care is required regarding the IOL position in relation to the PMS tube when hypotony occurs in the early postoperative period.http://www.sciencedirect.com/science/article/pii/S2451993623001597PreserFloMicroShuntGlaucoma drainage deviceObstructionMinimally invasive glaucoma surgery
spellingShingle Kentaro Iwasaki
Shogo Arimura
Masaru Inatani
Tube obstruction caused by intraocular lens capture following PreserFlo MicroShunt implantation
American Journal of Ophthalmology Case Reports
PreserFlo
MicroShunt
Glaucoma drainage device
Obstruction
Minimally invasive glaucoma surgery
title Tube obstruction caused by intraocular lens capture following PreserFlo MicroShunt implantation
title_full Tube obstruction caused by intraocular lens capture following PreserFlo MicroShunt implantation
title_fullStr Tube obstruction caused by intraocular lens capture following PreserFlo MicroShunt implantation
title_full_unstemmed Tube obstruction caused by intraocular lens capture following PreserFlo MicroShunt implantation
title_short Tube obstruction caused by intraocular lens capture following PreserFlo MicroShunt implantation
title_sort tube obstruction caused by intraocular lens capture following preserflo microshunt implantation
topic PreserFlo
MicroShunt
Glaucoma drainage device
Obstruction
Minimally invasive glaucoma surgery
url http://www.sciencedirect.com/science/article/pii/S2451993623001597
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AT shogoarimura tubeobstructioncausedbyintraocularlenscapturefollowingpreserflomicroshuntimplantation
AT masaruinatani tubeobstructioncausedbyintraocularlenscapturefollowingpreserflomicroshuntimplantation