Seven-Year Outcomes After Intrascleral Ciliary Sulcus Suprachoroidal Microtube Implantation in Chronic Angle-Closure Glaucoma: A Case Report
Daniel Laroche MD*, Jasmine Okafor DO, Laila Abouhasswa OD and Louis K Aghanwa BA
ABSTRACT
Purpose: To report long-term outcomes following implantation of an intrascleral ciliary sulcus suprachoroidal microtube for intraocular pressure control in a patient with chronic angle-closure glaucoma.
Observations: A 71-year-old woman with chronic angle-closure glaucoma underwent implantation of an intrascleral ciliary sulcus suprachoroidal microtube and was followed for seven years. Visual field index remained stable, and the patient required fewer topical glaucoma medications. No significant long-term complications were observed.
Conclusions and Importance: Suprachoroidal shunts offer a bleb-independent approach for lowering intraocular pressure by directing aqueous humor into the suprachoroidal space. This case demonstrates sustained intraocular pressure control, visual field stability, and medication reduction over seven years using a cost-effective intrascleral ciliary sulcus suprachoroidal microtube. These findings support the safety and durability of this technique as an alternative to traditional filtering surgeries, particularly in patients with mixed-mechanism glaucoma.
