Successful treatment of glaucoma in Sturge-Weber syndrome using PreserFlo™ microshunt with intraluminal stenting: a case report.

Purpose: We report a case of glaucoma associated with Sturge-Weber syndrome (SWS) that was successfully managed with PreserFlo™ microshunt (PFM) insertion combined with two intraluminal 10-0 nylon suture stents. Observations: A 27-year-old female patient with SWS and persistently elevated intraocular pressure (IOP) in the right eye was referred to our hospital for surgical treatment. The patient was diagnosed with bilateral SWS-related glaucoma. She first underwent a right trabeculotomy at the age of 11, followed by a trabeculectomy on the same eye. At the age of 13, a trabeculectomy was performed on the left eye. At the time of presentation, her right eye IOP was 28 mmHg. A PFM with two 10-0 nylon intraluminal sutures was implanted. On postoperative day 1, IOP decreased to 16 mmHg. The shunt was well positioned without complications. On day 17, IOP rose to 20 mmHg, leading to the removal of one suture. On day 22, IOP dropped to 18 mmHg, and the second suture was removed. Conclusions: Herein, we successfully executed PFM insertion with intraluminal stenting in a patient with SWS, resulting in effective IOP reduction without any serious postoperative complications. These findings suggest that PFM insertion with stenting could be a viable treatment option for glaucoma associated with SWS.