advertisement
Abstract #91989 Published in IGR 22-1
Lamellar sclerectomy augmented XEN gel stent glaucoma surgery
Kuo CHEuropean Journal of Ophthalmology 2021; 31: 782-785
PURPOSE: To describe a surgical technique to optimize XEN gel stent position and its outflow. METHODS: A small 1- to 1.5-mm square lamellar sclerectomy was created at the external tip of the XEN gel stent implant. The lamellar scleral tissue, served as a patch graft, was secured at the gel stent insertion site. RESULTS: Four sequential, unselected, patients with failed primary XEN gel stent surgeries underwent bleb revisions with the technique described. These four patients achieved unmedicated intraocular pressures between 10 and 12 mmHg and a favourable bleb morphology despite repeated mitomycin C applications at 6 months. CONCLUSION: Lamellar sclerectomy with auto-scleral graft augmented XEN gel stent surgery deliver successful short-term outcomes without major complications observed.
Full article
Classification:
12.8.2 With tube implant or other drainage devices (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
12.8.3 Non-perforating (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
