Implante de Preserflo Microshunt en cámara posterior en un paciente con endotelio comprometido
- J.M. Martinez-de-la-Casa 123
- F. Saenz-Frances 123
- L. Morales Fernandez 123
- J. García-Feijoo 123
-
1
Universidad Complutense de Madrid
info
-
2
Hospital Clínico San Carlos de Madrid
info
-
3
Instituto de Investigación Sanitaria del Hospital Clínico San Carlos
info
Instituto de Investigación Sanitaria del Hospital Clínico San Carlos
Madrid, España
ISSN: 0365-6691
Year of publication: 2022
Volume: 97
Issue: 3
Pages: 161-164
Type: Article
More publications in: Archivos de la Sociedad Española de Oftalmologia
Abstract
The objective of the present case is to describe a variation in the Preserflo Microshunt surgical technique, placing it in the posterior chamber to minimise the risk of endothelial cell loss in cases with a compromised endothelium. The patient was a 72-year-old pseudophakic woman, with granular dystrophy and a primary diagnosis of open-angle glaucoma presenting with a progressive visual field defect and an IOP of 26 mmHg with maximal medical therapy. The cornea had incipient stromal folds with an endothelial count of 700 cells/mm2. A Preserflo Microshunt was implanted in the posterior chamber to minimise the possibility of further damage to the corneal endothelium. Six months after surgery, the implant remains functional. The IOP is 9 mmHg without medications. As far as we know, this is the first Preserflo implanted in the posterior chamber described in the literature.