Acta clinica Croatica, Vol. 58. No. 4., 2019.
Ostalo
https://doi.org/10.20471/acc.2019.58.04.25
Subconjunctival Fragmentation of a Previously Efficient XEN Gel Stent Implantation and Successful Bleb Formation: a Case Report
Katia Novak-Lauš
; Department of Ophthalmology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia
Lana Knežević
; Department of Ophthalmology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia
Goran Marić
; Department of Ophthalmology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia
Mia Zorić Geber
; Department of Ophthalmology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia
Zoran Vatavuk
; Department of Ophthalmology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia
Sažetak
The XEN gel stent is one of the available minimally invasive glaucoma surgery devices, a new generation implant, which is designed to reduce intraocular pressure in patients with primary open angle glaucoma if past medical treatments have failed. This report presents a case of subconjunctival fragmentation of the XEN gel stent after a three-month follow-up of successful XEN gel implantation. A 70-year-old male patient was treated for primary open angle glaucoma. He underwent successful phacoemulsification and intraocular lens implantation two years before. Due to medical therapy failure in controlling glaucoma, XEN gel stent implantation was suggested to the patient. The implant was successfully placed in both eyes, and extended bleb and drainage aqueous humor from the anterior chamber to the subconjunctival space was obtained. Three months after the surgery, at a regular follow-up visit, three fragments of the subconjunctival part of the XEN gel implant were
found in his left eye. Neither serious complications nor intraocular pressure increase were detected. A new potential complication of the XEN gel implant is described.
Ključne riječi
Intraocular pressure; Glaucoma, open-angle; Lens implantation, intraocular; Stents; Minimally invasive surgical procedures; Filtering surgery
Hrčak ID:
235301
URI
Datum izdavanja:
1.12.2019.
Posjeta: 1.406 *