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J GlaucomaOctober 20240 citations

Delayed Onset Spontaneous Hyphema After an OMNI Surgical Procedure.

Gautam Natasha, Sit Arthur J


AI Summary

This case reports recurrent, delayed hyphema after OMNI MIGS, a novel complication emphasizing the need for long-term safety awareness in glaucoma patient management.

Abstract

Minimally invasive glaucoma surgery (MIGS) offers options for glaucoma treatment that have generally improved safety profiles compared with filtering surgery. MIGS vary in design and procedure, but all angle-based MIGS function by bypassing or removing aqueous humor outflow resistance at the level of the trabecular meshwork. This can lower intraocular pressure but also remove the blood-aqueous barrier. Most studies of MIGS report on relatively short-term safety, but awareness of potential long-term complications is critical for optimal patient management. This case report describes a patient with recurrent and refractory delayed onset spontaneous hyphema after an OMNI procedure. To the best of our knowledge, this is the first case report describing this complication of the OMNI surgical system.


MeSH Terms

HumansFiltering SurgeryGlaucoma, Open-AngleHyphemaIntraocular PressureMinimally Invasive Surgical ProceduresPostoperative Complications

Key Concepts4

A patient experienced recurrent and refractory delayed onset spontaneous hyphema after an OMNI procedure.

PrognosisCase seriesCase Reportn=1 patientCh24Ch45

To the best of the authors' knowledge, this is the first case report describing recurrent and refractory delayed onset spontaneous hyphema as a complication of the OMNI surgical system.

PrognosisCase seriesCase Reportn=1 patientCh24Ch45

Minimally invasive glaucoma surgery (MIGS) offers options for glaucoma treatment that have generally improved safety profiles compared with filtering surgery.

TreatmentExpert OpinionReviewn=Not applicableCh41Ch45

All angle-based MIGS function by bypassing or removing aqueous humor outflow resistance at the level of the trabecular meshwork, which can lower intraocular pressure but also remove the blood-aqueous barrier.

MechanismExpert OpinionReviewn=Not applicableCh2Ch45

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