Novel surgical technique to manage iStent inject over-implantation

Eur J Ophthalmol. 2023 Nov;33(6):2309-2312. doi: 10.1177/11206721231190417. Epub 2023 Aug 7.

Abstract

Purpose: To describe a novel surgical technique to manage over-implantation of the iStent inject intra-operatively, utilizing only the iStent inject delivery system itself to perform both device extraction and reimplantation, without the need for additional instrumentation.

Methods: A demonstration of managing over-implantation of the iStent inject, with two case examples.

Results: Over-implantation of the iStent inject can be successfully managed intra-operatively to ensure ideal positioning to optimise post-operative outcomes, with the use of only the iStent inject delivery system itself for both device extraction and reimplantation.

Conclusion: This novel technique provides a cost-effective and feasible means to intra-operatively manage over-implantation of the iStent inject.

Keywords: Minimally invasive glaucoma surgery < GLAUCOMA; glaucoma incisional surgery < GLAUCOMA; open angle glaucoma < GLAUCOMA; surgical instruments / special techniques < LENS / CATARACT.