Inferior implant of XEN63 Gel stent in a refractory open-angle glaucoma due to silicone oil tamponade: A case report

Alfonso Savastano, Matteo Mario Carla', Gloria Gambini, Federico Giannuzzi, Francesco Boselli, Stanislao Rizzo

Risultato della ricerca: Contributo in rivistaArticolo in rivista

Abstract

Background: To discuss the efficacy of an inferior implant of XEN 63 gel stent in a patient with refractory glaucoma after trabeculectomy failure and vitreoretinal surgery with silicone oil tamponade. Case Description: We report the case of a 73-year-old man with a history of refractory open glaucoma with trabeculectomy failure. He experienced recurrent retinal detachments with silicone oil tamponade, with uncontrolled intra-ocular pressure (IOP) after silicone oil removal. Due to the presence of oil emulsion in the anterior chamber, the chosen location for XEN 63 implantation was the infero-temporal quadrant. Mild hyphema and vitreous hemorrhage were seen post-operatively, but were self-limiting. At week 1, the intraocular pressure was 8 mmHg with a well-formed bleb seen in anterior segment optical coherence tomography (AS-OCT). At 6 month follow up, the patient maintained a IOP of 12 mmHg without topical hypotensive drugs. Slit lamp examination revealed a widespread, developed bleb with no signs of inflammation. Conclusion: In this case of refractory glaucoma in a vitrectomized eye with previous oil tamponade, the inferior placement of the XEN 63 gel stent delivered an adequate intraocular pressure even at 6-months follow up, with a diffuse functional infero-nasal bleb seen with AS-OCT.
Lingua originaleEnglish
pagine (da-a)11206721231172231-11206721231172236
Numero di pagine5
RivistaEuropean Journal of Ophthalmology
DOI
Stato di pubblicazionePubblicato - 2023

Keywords

  • XEN 63 gel stent
  • anterior segment optical coherence tomography
  • refractory glaucoma
  • silicone oil tamponade

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