The Road Less Traveled: Ciliary Sulcus Implantation of the Preserflo MicroShunt
Introduction: Herein, we report on the option and clinical advantage of the Preserflo MicroShunt insertion into the posterior chamber ciliary sulcus in a patient with advanced pseudoexfoliation glaucoma at a high risk of corneal decompensation. Case Presentation: We describe a 64-year-old...
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Karger Publishers
2025-01-01
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| Series: | Case Reports in Ophthalmology |
| Online Access: | https://karger.com/article/doi/10.1159/000543219 |
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| author | Meishar Meisel Eran Berkowitz Avi Schwalb Beatrice Tiosano |
| author_facet | Meishar Meisel Eran Berkowitz Avi Schwalb Beatrice Tiosano |
| author_sort | Meishar Meisel |
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Introduction: Herein, we report on the option and clinical advantage of the Preserflo MicroShunt insertion into the posterior chamber ciliary sulcus in a patient with advanced pseudoexfoliation glaucoma at a high risk of corneal decompensation. Case Presentation: We describe a 64-year-old advanced pseudoexfoliation glaucoma patient who despite maximal tolerated medical therapy and two failed glaucoma surgeries, still suffered from uncontrolled intraocular pressure (IOP) of 36 mm Hg in his left eye. The patient underwent the implantation of the Preserflo MicroShunt. The shunt was placed nasally into an area of unscarred conjunctiva, with the anterior part of the shunt inserted into the ciliary sulcus. Postoperatively, the patient’s IOP dropped to 6 mm Hg on the first day and stabilized at 11 mm Hg at the 6-month mark. An elevated, posteriorly located bleb was observed, and the patient no longer required additional topical medications. Endothelial cell (EC) count remained stable with no signs of corneal edema. The patient did not experience any serious postoperative complications. Conclusion: Implantation of the Preserflo MicroShunt into the ciliary sulcus appears to be a viable option for patients at high risk of corneal decompensation, hence, offering effective IOP control while minimizing EC loss. Further studies with larger patient groups are warranted to better evaluate the safety and efficacy of this technique. |
| format | Article |
| id | doaj-art-8dac35c9ef4b4cacbb0545e4d41d8220 |
| institution | OA Journals |
| issn | 1663-2699 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Karger Publishers |
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| series | Case Reports in Ophthalmology |
| spelling | doaj-art-8dac35c9ef4b4cacbb0545e4d41d82202025-08-20T02:31:55ZengKarger PublishersCase Reports in Ophthalmology1663-26992025-01-01161687310.1159/000543219The Road Less Traveled: Ciliary Sulcus Implantation of the Preserflo MicroShuntMeishar Meiselhttps://orcid.org/0009-0007-0444-7175Eran Berkowitzhttps://orcid.org/0000-0001-6817-7513Avi Schwalbhttps://orcid.org/0000-0003-4969-3701Beatrice Tiosanohttps://orcid.org/0000-0002-1379-4861 Introduction: Herein, we report on the option and clinical advantage of the Preserflo MicroShunt insertion into the posterior chamber ciliary sulcus in a patient with advanced pseudoexfoliation glaucoma at a high risk of corneal decompensation. Case Presentation: We describe a 64-year-old advanced pseudoexfoliation glaucoma patient who despite maximal tolerated medical therapy and two failed glaucoma surgeries, still suffered from uncontrolled intraocular pressure (IOP) of 36 mm Hg in his left eye. The patient underwent the implantation of the Preserflo MicroShunt. The shunt was placed nasally into an area of unscarred conjunctiva, with the anterior part of the shunt inserted into the ciliary sulcus. Postoperatively, the patient’s IOP dropped to 6 mm Hg on the first day and stabilized at 11 mm Hg at the 6-month mark. An elevated, posteriorly located bleb was observed, and the patient no longer required additional topical medications. Endothelial cell (EC) count remained stable with no signs of corneal edema. The patient did not experience any serious postoperative complications. Conclusion: Implantation of the Preserflo MicroShunt into the ciliary sulcus appears to be a viable option for patients at high risk of corneal decompensation, hence, offering effective IOP control while minimizing EC loss. Further studies with larger patient groups are warranted to better evaluate the safety and efficacy of this technique. https://karger.com/article/doi/10.1159/000543219 |
| spellingShingle | Meishar Meisel Eran Berkowitz Avi Schwalb Beatrice Tiosano The Road Less Traveled: Ciliary Sulcus Implantation of the Preserflo MicroShunt Case Reports in Ophthalmology |
| title | The Road Less Traveled: Ciliary Sulcus Implantation of the Preserflo MicroShunt |
| title_full | The Road Less Traveled: Ciliary Sulcus Implantation of the Preserflo MicroShunt |
| title_fullStr | The Road Less Traveled: Ciliary Sulcus Implantation of the Preserflo MicroShunt |
| title_full_unstemmed | The Road Less Traveled: Ciliary Sulcus Implantation of the Preserflo MicroShunt |
| title_short | The Road Less Traveled: Ciliary Sulcus Implantation of the Preserflo MicroShunt |
| title_sort | road less traveled ciliary sulcus implantation of the preserflo microshunt |
| url | https://karger.com/article/doi/10.1159/000543219 |
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