title: Trabecular Micro-Bypass Stent Use in Necrotizing Scleritis.
abstract: OBJECTIVE
  In this case report, we describe the successful implantation of multiple trabecular micro-bypass iStents in a patient with necrotizing scleritis.
  
  
  METHODS
  The study design is a case report.
  
  
  METHODS
  The participant was a patient who underwent multiple micro-bypass iStent surgery.
  
  
  METHODS
  A 71-year-old man with primary open-angle glaucoma, diagnosed with necrotizing scleritis and treated with steroids consequently resulting in significantly elevated intraocular pressure in the right eye.
  
  
  RESULTS
  Following uncomplicated surgery, IOP was reduced from 42 to 12 mm Hg 18 months after surgery on 2 drops and prednisone 40 mg daily CONCLUSIONS:: iStents may be considered as a possible intervention to lower IOP in patients with necrotizing scleritis in whom traditional glaucoma surgery is challenging or contraindicated.
authors.affiliation: Department of Ophthalmology, University of Alberta, Edmonton, AB, Canada.
authors.forename: Simrenjeet
authors.initials: S
authors.lastname: Sandhu
authors.forename: Lisa
authors.initials: L
authors.lastname: Heckler
authors.forename: Dean
authors.initials: D
authors.lastname: Mah
authors.forename: Michael W
authors.initials: MW
authors.lastname: Dorey
mesh_terms: D000368:Aged; D000959:Antihypertensive Agents / Q000008:administration & dosage; D005902:Glaucoma, Open-Angle / Q000503:physiopathology / Q000601:surgery*; D005938:Glucocorticoids / Q000008:administration & dosage; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology; D008297:Male; D011446:Prospective Studies; D019919:Prosthesis Implantation; D015423:Scleritis / Q000503:physiopathology / Q000601:surgery*; D015607:Stents; D014065:Tonometry, Ocular
chemical_list: D000959:Antihypertensive Agents; D005938:Glucocorticoids