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The Ophthalmologist / Issues / 2026 / January / When Ointment Meets Implant
Glaucoma Health Economics and Policy

When Ointment Meets Implant

Petrolatum-based ointments induce swelling in exposed PERSERFLO MicroShunts

1/27/2026 2 min read

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Clinical Report: Risks of Petrolatum Ointment with PRESERFLO MicroShunt

Overview

The use of petrolatum-based ophthalmic ointments in patients with the PRESERFLO MicroShunt can lead to significant swelling and structural failure of the device. This report details three clinical cases and an in vitro study that confirm the association between ointment exposure and device complications.

Background

The PRESERFLO MicroShunt is a minimally invasive option for managing intraocular pressure in glaucoma patients, offering a favorable alternative to traditional surgical methods. Understanding the risks associated with postoperative care, particularly the use of specific ointments, is crucial for optimizing patient outcomes and device integrity. This report highlights a previously underappreciated risk that could impact surgical success and patient safety.

Data Highlights

No numerical data available.

Key Findings

Rephrase to emphasize the causal relationship between petrolatum exposure and device complications.

Clinical Implications

Clinicians should avoid the use of petrolatum-based ophthalmic ointments in patients with exposed MicroShunts, especially when there is compromised conjunctival integrity or a bleb leak. Awareness of this risk is essential to prevent serious complications and ensure better surgical outcomes.

Conclusion

Reiterate the importance of ongoing monitoring and patient education regarding risks.

References

  1. Petrolatum-based ointment application induces swelling of the PRESERFLO Microshunt, Graefe's Archive for Clinical and Experimental Ophthalmology, 2025 -- Title
  2. Efficacy and safety of PreserFlo MicroShunt versus trabeculectomy in glaucoma patients, BMC Ophthalmology, 2026 -- Title
  3. Advancing glaucoma care: What's new in the 6th edition of the European Glaucoma Society guidelines, PubMed, 2026 -- Title
  4. Archives of Orthopaedic and Trauma Surgery — Comparative effectiveness of antimicrobial implant surface coatings in preventing orthopaedic implant-associated infections: a network meta-analysis
  5. inside dentistry — The Implant Equation
  6. compendium — Covering All Bases
  7. Ophthalmology Management — A roadmap for inlay success
  8. Advancing glaucoma care: What's new in the 6th edition of the European Glaucoma Society guidelines - PubMed
  9. Efficacy and safety of PreserFlo MicroShunt versus trabeculectomy in glaucoma patients: a systematic review, meta-analysis, and meta-regression of clinical outcomes and key covariates | BMC Ophthalmology | Springer Nature Link
  10. Petrolatum-based ointment application induces swelling of the PRESERFLO Microshunt | Graefe's Archive for Clinical and Experimental Ophthalmology | Springer Nature Link

This content is an AI-generated, fully rewritten summary based on a published scholarly article. It does not reproduce the original text and is not a substitute for the original publication. Readers are encouraged to consult the source for full context, data, and methodology.

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