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Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
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Related Experiment Video

Updated: Oct 13, 2025

Intraoperative Visualization of Subretinal Injection and Retinal Detachment in Rats
04:16

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Appositional Choroidal Detachment Following XEN45 Gel Stent Requiring Surgical Drainage.

Yash S Shah1, Marko Oydanich1, Rajen U Desai2

  • 1Department of Ophthalmology & Visual Science, Rutgers New Jersey Medical School, Newark.

Journal of Glaucoma
|November 13, 2021
PubMed
Summary

Severe choroidal detachments can complicate XEN45 glaucoma surgery. This case highlights the need for prompt intervention, including explantation and drainage, to restore vision after XEN45 device implantation.

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Area of Science:

  • Ophthalmology
  • Glaucoma Surgery
  • Microsurgery

Background:

  • Severe primary open-angle glaucoma (POAG) often requires surgical intervention when maximal medical therapy fails.
  • The XEN45 aqueous drainage device is a minimally invasive option for glaucoma management.
  • Ab externo implantation is a surgical technique for device placement.

Observation:

  • An 82-year-old male with severe POAG underwent uneventful XEN45 implantation.
  • Postoperatively, the patient developed significant choroidal detachments with vision loss.
  • Initial medical management with steroids and cycloplegia was insufficient.

Findings:

  • The choroidal detachments became appositional, necessitating intervention.
  • Xen explantation and surgical drainage of the choroidal detachment were performed.
  • Post-surgical intervention led to improved visual acuity.

Implications:

  • Significant choroidal detachments are a potential complication of XEN45 implantation.
  • Prompt surgical management may be required for vision recovery.
  • This case underscores the importance of monitoring for and managing choroidal effusions after glaucoma device surgery.