Iris-Occlusion of XEN Gel Stent following Ab Externo Transconjunctival Implantation Technique

The use of minimally invasive glaucoma surgery (MIGS) devices has become increasingly common for the management of elevated intraocular pressure (IOP) in the context of glaucoma. These technologies have traditionally been associated with fewer postoperative complications than conventional surgical t...

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Main Authors: Sunil Ruparelia, Nir Shoham-Hazon
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Ophthalmological Medicine
Online Access:http://dx.doi.org/10.1155/2021/2936047
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author Sunil Ruparelia
Nir Shoham-Hazon
author_facet Sunil Ruparelia
Nir Shoham-Hazon
author_sort Sunil Ruparelia
collection DOAJ
description The use of minimally invasive glaucoma surgery (MIGS) devices has become increasingly common for the management of elevated intraocular pressure (IOP) in the context of glaucoma. These technologies have traditionally been associated with fewer postoperative complications than conventional surgical techniques. However, we report on a rare case of transient XEN occlusion associated with pupil dilation following XEN gel stent implantation. This case highlights that in future XEN implantations, it may be preferable to position the XEN at a lesser angle to the iris to prevent such an occlusion. The use of different positionings of XEN is performed to optimize outcomes. However, it is highlighted that complications may arise in certain circumstances.
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institution Kabale University
issn 2090-6722
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language English
publishDate 2021-01-01
publisher Wiley
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series Case Reports in Ophthalmological Medicine
spelling doaj-art-d3e0ca8ffc014578bbe1b12d07f9b40f2025-02-03T01:24:59ZengWileyCase Reports in Ophthalmological Medicine2090-67222090-67302021-01-01202110.1155/2021/29360472936047Iris-Occlusion of XEN Gel Stent following Ab Externo Transconjunctival Implantation TechniqueSunil Ruparelia0Nir Shoham-Hazon1Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, CanadaFaculty of Medicine, Dalhousie University, Halifax, Nova Scotia, CanadaThe use of minimally invasive glaucoma surgery (MIGS) devices has become increasingly common for the management of elevated intraocular pressure (IOP) in the context of glaucoma. These technologies have traditionally been associated with fewer postoperative complications than conventional surgical techniques. However, we report on a rare case of transient XEN occlusion associated with pupil dilation following XEN gel stent implantation. This case highlights that in future XEN implantations, it may be preferable to position the XEN at a lesser angle to the iris to prevent such an occlusion. The use of different positionings of XEN is performed to optimize outcomes. However, it is highlighted that complications may arise in certain circumstances.http://dx.doi.org/10.1155/2021/2936047
spellingShingle Sunil Ruparelia
Nir Shoham-Hazon
Iris-Occlusion of XEN Gel Stent following Ab Externo Transconjunctival Implantation Technique
Case Reports in Ophthalmological Medicine
title Iris-Occlusion of XEN Gel Stent following Ab Externo Transconjunctival Implantation Technique
title_full Iris-Occlusion of XEN Gel Stent following Ab Externo Transconjunctival Implantation Technique
title_fullStr Iris-Occlusion of XEN Gel Stent following Ab Externo Transconjunctival Implantation Technique
title_full_unstemmed Iris-Occlusion of XEN Gel Stent following Ab Externo Transconjunctival Implantation Technique
title_short Iris-Occlusion of XEN Gel Stent following Ab Externo Transconjunctival Implantation Technique
title_sort iris occlusion of xen gel stent following ab externo transconjunctival implantation technique
url http://dx.doi.org/10.1155/2021/2936047
work_keys_str_mv AT sunilruparelia irisocclusionofxengelstentfollowingabexternotransconjunctivalimplantationtechnique
AT nirshohamhazon irisocclusionofxengelstentfollowingabexternotransconjunctivalimplantationtechnique