Implantation of a CyPass Supraciliary Stent Combined with Targeted iStent Trabecular Microbypass Stents in a Phakic Patient with Primary Open-Angle Glaucoma

To report the first successful implantation of a CyPass supraciliary stent combined with two targeted iStent trabecular microbypass stents in a phakic primary open angle glaucoma patient with markedly elevated intraocular pressures (IOP) on maximum tolerable medical therapy. Case report. A 52-year-old phakic male patient with primary open-angle glaucoma (POAG) with uncontrolled IOP in the right eye (OD) of 36 mm Hg on maximal topical pharmacotherapy. The patient underwent implantation of a single CyPass supraciliary stent combined with the targeted implantation of two iStent trabecular microbypass stents, one right facing stent and one left facing stent. Postoperatively, off of all glaucoma medications, the IOP decreased to 10 mm Hg on day one and continued to be controlled between 10-13 mm Hg until post-operative month 6, with only one glaucoma medication added after post-operative month 5. Additionally, there were no post-operative complications to date. The combined implantation ...