Trabecular Micro-Bypass Stent Use in Necrotizing Scleritis.

PURPOSE: In this case report, we describe the successful implantation of multiple trabecular micro-bypass iStents in a patient with necrotizing scleritis.

DESIGN

The study design is a case report.

PARTICIPANTS

The participant was a patient who underwent multiple micro-bypass iStent surgery.

METHODS

A 71-year-old man with primary open-angle glaucoma, diagnosed with necrotizing scleritis and treated with steroids consequently resulting in significantly elevated intraocular pressure in the right eye.

RESULTS

Following uncomplicated surgery, IOP was reduced from 42 to 12 mm Hg 18 months after surgery on 2 drops and prednisone 40 mg daily

CONCLUSIONS

: iStents may be considered as a possible intervention to lower IOP in patients with necrotizing scleritis in whom traditional glaucoma surgery is challenging or contraindicated.