RESEARCH PAPER
Safety and efficacy of concomitant supraciliary microstenting with cataract surgery for treating open‑angle glaucoma: 3‑year experience
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Klinika Okulistyki CSK MON WIM w Warszawie; kierownik: płk prof. dr hab. n. med. Marek Rękas
Submission date: 2018-11-21
Publication date: 2019-01-29
LW 2019;97(2):128-136
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ABSTRACT
Purpose. This study evaluated the treatment outcomes of supraciliary microstent implantation (CyPass® Micro‑Stent, Transcend Medical, USA) in patients with open‑angle glaucoma undergoing cataract surgery. Material. Prospective case series. Methods. Twenty patients (mean age: 76.5 ±7.1 years) were evaluated for 36 months after supraciliary microstent implantation combined with cataract surgery. Evaluated outcomes included IOP, best‑corrected visual acuity (BCVA), number of required IOP‑lowering medications, and adverse events. Results: Baseline mean IOP (16.1 ±3.3 mm Hg) remained well‑controlled at 36‑months post‑surgery (15.8 ±3.4 mm Hg; p =0.070). Baseline BCVA (mean 20/40 Snellen, range 20/25–20/200) was improved after surgery, and the effect was maintained through postoperative 36‑months (mean 20/25 Snellen, range 20/20–20/80). All subjects used IOP‑drugs at baseline (40% required ≥3 medications), whereas 80% remained medication‑free at postoperative 36‑months. One stent obstruction resulted in elevated IOP and device explantation. Another subject experienced persistent corneal edema. Adverse events included transiently elevated IOP (20% of eyes) and hypotony (20%). Conclusion. Supraciliary microstenting combined with cataract surgery in open‑angle glaucoma results in minimal complications and significantly reduces necessary IOP‑lowering medications through postoperative 36‑months.
CONFLICT OF INTEREST
No conflicts of interest were declared.