title: Glaukos(®) trabecular stent used to treat steroid-induced glaucoma.
abstract: OBJECTIVE
  This case report illustrates the efficacy of the Glaukos trabecular bypass (Glaukos i-stent, Glaukos Corporation, Laguna Hills, California, USA) used for intraocular pressure (IOP) control in a patient with glaucoma induced by the steroid treatment of post–laser-assisted in situ keratomileusis (LASIK) bilateral anterior uveitis.
  
  
  METHODS
  A 35-year-old woman who had undergone LASIK 5 months previously presented with blurred vision in both eyes. Examination revealed bilateral anterior uveitis and diffuse lamellar keratitis (DLK) requiring steroid treatment. In response to treatment, inflammation improved but the patient had increased IOP that was difficult to control. The course of pressure elevation was more aggressive in the left eye despite the gradual discontinuation of steroids. We therefore decided to place 2 trabecular i-stents in the left eye.
  
  
  RESULTS
  This solution achieved good pressure control with no associated complications after 1 year follow-up.
  
  
  CONCLUSIONS
  This trabecular bypass seems a safe and effective therapeutic option for IOP control when there is a poor response to conventional treatment in this type of secondary glaucoma.
authors.affiliation: Hospital Clinico San Carlos, Instituto de Investigaciones Oftalmologicas Ramon Castroviejo, Universidad Complutense, Madrid, Spain. lauramoralesfernandez@gmail.com
authors.forename: Laura
authors.initials: L
authors.lastname: Morales-Fernandez
authors.forename: Jose M
authors.initials: JM
authors.lastname: Martinez-De-La-Casa
authors.forename: Julian
authors.initials: J
authors.lastname: Garcia-Feijoo
authors.forename: David
authors.initials: D
authors.lastname: Diaz Valle
authors.forename: Pedro
authors.initials: P
authors.lastname: Arriola-Villalobos
authors.forename: Julian
authors.initials: J
authors.lastname: Garcia-Sanchez
mesh_terms: D000328:Adult; D005260:Female; D005901:Glaucoma / Q000139:chemically induced / Q000601:surgery*; D020327:Glaucoma Drainage Implants; D005938:Glucocorticoids / Q000009:adverse effects*; D006068:Gonioscopy; D006801:Humans; D007429:Intraocular Pressure; D007634:Keratitis / Q000188:drug therapy* / Q000209:etiology; D020731:Keratomileusis, Laser In Situ / Q000009:adverse effects; D015607:Stents; D014129:Trabecular Meshwork / Q000601:surgery*; D014606:Uveitis, Anterior / Q000188:drug therapy* / Q000209:etiology
chemical_list: D005938:Glucocorticoids