Dossantos Jason, An Jella
Department of Ophthalmology, GW School of Medicine and Health Sciences (SMHS), Washington, DC, State of Washington, United States of America.
Department of Ophthalmology, Wilmer Eye Institute, Johns Hopkins School of Medicine, Baltimore, Maryland, State of Washington, United States of America.
J Curr Glaucoma Pract. 2024 Jan-Mar;18(1):37-41. doi: 10.5005/jp-journals-10078-1436.
This study seeks to highlight and explore the occurrence of uveitis with obstructive peripheral anterior synechiae (PAS) after a combined OMNI canaloplasty and Hydrus microstent implantation with phacoemulsification, particularly in a patient with a background of psoriatic arthritis.
A 56-year-old male with a medical history of psoriatic arthritis (in remission for 10 years) and primary open-angle glaucoma (POAG) underwent a combined OMNI canaloplasty and Hydrus microstent with phacoemulsification. The surgical procedure was uncomplicated. However, within 2 weeks postsurgery, the patient presented with severe symptoms, including uveitis, elevated intraocular pressure (IOP), and a significant reduction in best-corrected visual acuity (BCVA). This postoperative response was unexpected, especially given the lack of any past history of uveitis in the patient. The complication, potentially influenced by the patient's history of psoriatic arthritis, led to the need for additional interventions, including the implantation of an Ahmed glaucoma valve.
This case underscores the potential for postoperative complications, specifically uveitis with obstructive PAS, following combined OMNI canaloplasty and Hydrus microstent with phacoemulsification, especially in patients with a history of autoimmune diseases. Careful preoperative history, postoperative monitoring, and a nuanced approach to surgical planning are crucial. The association between systemic inflammatory conditions and ocular complications warrants deeper exploration to ensure optimal patient care.
Dossantos J, An J. A Rare Case of Postoperative Uveitis and Obstructive Peripheral Anterior Synechiae Following Combined OMNI Canaloplasty and Hydrus Microstent Implantation. J Curr Glaucoma Pract 2024;18(1):37-41.
本研究旨在突出并探讨在进行OMNI房角成形术、Hydrus微支架植入联合超声乳化术后发生伴有周边前粘连（PAS）的葡萄膜炎的情况，特别是在一名患有银屑病关节炎病史的患者中。
一名56岁男性，有银屑病关节炎病史（缓解10年）和原发性开角型青光眼（POAG），接受了OMNI房角成形术、Hydrus微支架植入联合超声乳化术。手术过程顺利。然而，术后2周内，患者出现了严重症状，包括葡萄膜炎、眼压升高（IOP）以及最佳矫正视力（BCVA）显著下降。这种术后反应出乎意料，尤其是考虑到患者既往没有葡萄膜炎病史。该并发症可能受患者银屑病关节炎病史的影响，导致需要额外的干预措施，包括植入艾哈迈德青光眼引流阀。
该病例强调了在进行OMNI房角成形术、Hydrus微支架植入联合超声乳化术后出现术后并发症的可能性，特别是伴有阻塞性PAS的葡萄膜炎，尤其是在有自身免疫性疾病病史的患者中。仔细的术前病史询问、术后监测以及细致入微的手术规划方法至关重要。全身炎症性疾病与眼部并发症之间的关联值得深入探索，以确保为患者提供最佳护理。
多斯桑托斯J，安J。OMNI房角成形术和Hydrus微支架植入联合术后罕见的葡萄膜炎和阻塞性周边前粘连病例。《当代青光眼实践杂志》2024；18（1）：37 - 41。
