Mispositioned Hydrus Microstents: A Case Series Imaged with NIDEK GS-1 Gonioscope

Introduction. The Hydrus microstent has become a common procedure in glaucoma surgery intended to improve outcomes of cataract surgery to lower intraocular pressure. Despite proper placement, this device can subsequently be noted to not be in the proper position. In this case series, we report mispo...

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Main Authors: Daniel Laroche, Alexander Martin, Aaron Brown, Sohail Sakkari, Chester Ng
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2022/1605195
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author Daniel Laroche
Alexander Martin
Aaron Brown
Sohail Sakkari
Chester Ng
author_facet Daniel Laroche
Alexander Martin
Aaron Brown
Sohail Sakkari
Chester Ng
author_sort Daniel Laroche
collection DOAJ
description Introduction. The Hydrus microstent has become a common procedure in glaucoma surgery intended to improve outcomes of cataract surgery to lower intraocular pressure. Despite proper placement, this device can subsequently be noted to not be in the proper position. In this case series, we report mispositioned Hydrus microstents in five different patients and use NIDEK GS-1 gonioscopy. Case Report. We report five different patients who had cataract surgery and who were subsequently noted to have mispositioned Hydrus stents. No stents needed to be removed. All patients had improved vision and stable visual fields, and none required secondary surgery. Management and Outcome. In each case of mispositioned stents, vision was significantly improved and there was no inflammation or other complications noted. Discussion. Hydrus stents can be noted to be mispositioned during the post-operative period after successful insertion. This can often be well tolerated requiring no further intervention.
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spelling doaj-art-d3fc3964d41443cbadfa4ea0ac7989172025-02-03T05:49:25ZengWileyJournal of Ophthalmology2090-00582022-01-01202210.1155/2022/1605195Mispositioned Hydrus Microstents: A Case Series Imaged with NIDEK GS-1 GonioscopeDaniel Laroche0Alexander Martin1Aaron Brown2Sohail Sakkari3Chester Ng4New York Eye and Ear Institute of Mount SinaiDonald and BarbaraNew York Eye and Ear Institute of Mount SinaiAdvanced Eyecare of New YorkAdvanced Eyecare of New YorkIntroduction. The Hydrus microstent has become a common procedure in glaucoma surgery intended to improve outcomes of cataract surgery to lower intraocular pressure. Despite proper placement, this device can subsequently be noted to not be in the proper position. In this case series, we report mispositioned Hydrus microstents in five different patients and use NIDEK GS-1 gonioscopy. Case Report. We report five different patients who had cataract surgery and who were subsequently noted to have mispositioned Hydrus stents. No stents needed to be removed. All patients had improved vision and stable visual fields, and none required secondary surgery. Management and Outcome. In each case of mispositioned stents, vision was significantly improved and there was no inflammation or other complications noted. Discussion. Hydrus stents can be noted to be mispositioned during the post-operative period after successful insertion. This can often be well tolerated requiring no further intervention.http://dx.doi.org/10.1155/2022/1605195
spellingShingle Daniel Laroche
Alexander Martin
Aaron Brown
Sohail Sakkari
Chester Ng
Mispositioned Hydrus Microstents: A Case Series Imaged with NIDEK GS-1 Gonioscope
Journal of Ophthalmology
title Mispositioned Hydrus Microstents: A Case Series Imaged with NIDEK GS-1 Gonioscope
title_full Mispositioned Hydrus Microstents: A Case Series Imaged with NIDEK GS-1 Gonioscope
title_fullStr Mispositioned Hydrus Microstents: A Case Series Imaged with NIDEK GS-1 Gonioscope
title_full_unstemmed Mispositioned Hydrus Microstents: A Case Series Imaged with NIDEK GS-1 Gonioscope
title_short Mispositioned Hydrus Microstents: A Case Series Imaged with NIDEK GS-1 Gonioscope
title_sort mispositioned hydrus microstents a case series imaged with nidek gs 1 gonioscope
url http://dx.doi.org/10.1155/2022/1605195
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