Abstract：
OBJECTIVE: To report a case of a patient with juvenile-onset open-angle glaucoma (JOAG) who was successfully treated with combination cataract extraction and Hydrus stent implantation.
METHODS: An interventional case report.
RESULTS: The patient underwent cataract surgery and Hydrus stent implantation in the right eye. Preoperative intraocular pressure (IOP) was 25 mmHg in the right eye (OD) and 21 mmHg in the left eye (OS). Best-corrected visual acuities (BCVA) were 20/80 in the right eye and 20/200 in the left eye. Postoperatively, vision improved to 20/40 in the right eye with an IOP of 14 mmHg after 21 months follow up. No device-related complications were observed.
CONCLUSIONS: Cataract surgery in combination with the Hydrus stent implant effectively lowers intraocular pressures and can be used to surgically manage patients with JOAG. This intervention is a probable adjunct or substitute to first line treatments such as trabeculotomy.
METHODS: An interventional case report.
RESULTS: The patient underwent cataract surgery and Hydrus stent implantation in the right eye. Preoperative intraocular pressure (IOP) was 25 mmHg in the right eye (OD) and 21 mmHg in the left eye (OS). Best-corrected visual acuities (BCVA) were 20/80 in the right eye and 20/200 in the left eye. Postoperatively, vision improved to 20/40 in the right eye with an IOP of 14 mmHg after 21 months follow up. No device-related complications were observed.
CONCLUSIONS: Cataract surgery in combination with the Hydrus stent implant effectively lowers intraocular pressures and can be used to surgically manage patients with JOAG. This intervention is a probable adjunct or substitute to first line treatments such as trabeculotomy.
摘要：
目的：报告1例幼年型开角型青光眼（JOAG）患者采用白内障摘除和Hydrus支架植入术成功治疗。
方法：一例介入病例报告。
结果：患者接受了白内障手术和右眼Hydrus支架植入。术前眼压（IOP）右眼（OD）为25mmHg，左眼（OS）为21mmHg。右眼的最佳矫正视力（BCVA）为20/80，左眼为20/200。术后,随访21个月后,右眼视力改善至20/40,IOP为14mmHg.未观察到装置相关并发症。
结论：白内障手术联合Hydrus支架植入可有效降低眼压，可用于手术治疗JOAG患者。这种干预可能是一线治疗如小梁切开术的辅助或替代。
方法：一例介入病例报告。
结果：患者接受了白内障手术和右眼Hydrus支架植入。术前眼压（IOP）右眼（OD）为25mmHg，左眼（OS）为21mmHg。右眼的最佳矫正视力（BCVA）为20/80，左眼为20/200。术后,随访21个月后,右眼视力改善至20/40,IOP为14mmHg.未观察到装置相关并发症。
结论：白内障手术联合Hydrus支架植入可有效降低眼压，可用于手术治疗JOAG患者。这种干预可能是一线治疗如小梁切开术的辅助或替代。
