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Related Experiment Video

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XEN® stent complications: a case series.

Chandni Gupta1, Divya Mathews2

  • 1Stanley Eye Unit, Abergele Hospital, Llanfair Road Abergel Conwy, Abergele, Wales, LL22 8DP.

BMC Ophthalmology
|December 14, 2019
PubMed
Summary

Complications of the XEN® gel stent (a microinvasive glaucoma device) include migration and breakage. Management strategies for these XEN stent issues are discussed to aid clinical decisions.

Keywords:
GlaucomaMIGSXEN

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Area of Science:

  • Ophthalmology
  • Glaucoma Surgery
  • Medical Device Complications

Background:

  • The XEN® gel stent is a microinvasive glaucoma device for aqueous humor drainage.
  • It offers an ab-interno approach to reduce intraocular pressure.
  • Limited data exists on its complications and management.

Observation:

  • Five complex cases of XEN® stent insertion are presented.
  • Complications included stent migration into the anterior chamber and fragmentation.
  • Other issues involved intraoperative breakage and post-operative scarring.

Findings:

  • The study details novel complications associated with XEN® gel stent implantation.
  • Management options for these adverse events are explored.
  • Key learning points are derived from the presented cases.

Implications:

  • Findings can inform clinical decision-making for glaucoma surgery.
  • This information aids in pre-operative patient counseling regarding XEN® stent risks.
  • Understanding complications improves patient outcomes in glaucoma management.