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Abstract #96236 Published in IGR 22-3
Appositional Choroidal Detachment Following XEN45 Gel Stent Requiring Surgical Drainage
Shah YS; Shah YS; Oydanich M; Oydanich M; Desai RU; Chinskey N; Khouri ASJournal of Glaucoma 2022; 31: 212-213
An 82-year-old man with severe primary open angle glaucoma on maximal medical therapy underwent an ab externo closed conjunctival Xen45 device insertion with mitomycin C. The surgery was uncomplicated, with a first postoperative day intraocular pressure (IOP) of 4▒mmHg and visual acuity of 20/40 OD. Ten days later, the patient presented with an IOP of 5mmHg and a visual acuity of counting fingers at 5 feet. Examination showed Seidel negative bleb, shallow anterior chamber, and large non-appositional choroidal detachments. Medical therapy with steroids and cycloplegia was initiated. One week later, the serous choroidal detachments became appositional, and Xen explantation and surgical drainage of the choroidal detachment was performed. Postoperatively, the vision improved to 20/60. Significant choroidal detachments can occur after XEN45 implantation requiring surgical intervention.
Department of Ophthalmology & Visual Science, Rutgers New Jersey Medical School, Newark NJ Freehold Ophthalmology, Freehold, NJ NJ Retina, Toms River, NJ, USA.
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