XEN Gel Stent in Pediatric Glaucoma.

Area of Science:

• Ophthalmology
• Pediatric Glaucoma Management

Background:

• Congenital glaucoma presents significant challenges in pediatric eye care.
• Traditional angle surgeries may have limitations in efficacy and safety for pediatric patients.

Observation:

• A case series involving three children with congenital glaucoma who received XEN gel stent implantation.
• Procedures were performed using both ab interno and ab externo approaches, with some cases following failed trabeculotomy.
• No device-related complications were noted during the follow-up period.

Findings:

• The XEN gel stent successfully lowered intraocular pressure in all three eyes.
• Intraocular pressure was managed effectively without topical medications for 6 to 24 months post-implantation.
• The gel stent demonstrated a favorable safety profile in this pediatric cohort.

Implications:

• The XEN gel stent is a safe and effective option for managing congenital glaucoma in children.
• This procedure represents a viable alternative or follow-up to conventional angle surgery for pediatric glaucoma.
• Further research may explore the long-term outcomes and broader application of gel stents in pediatric ophthalmology.