Abstract

BackgroundXEN glaucoma implant (XEN gel stent, Aquesys, Inc) is a new minimally invasive device approved for the treatment of glaucoma.Case presentationA 45 year old female was being followed and treated for primary open angle glaucoma in our tertiary referral center. Due to failure of medical treatment in controlling the glaucoma, surgery was offered to the patient. The XEN 45 μ-fistula implant was successfully placed in both eyes and adequate intraocular pressure control was achieved for 4 months. The left eye pressure then increased and the XEN implant was found in the anterior chamber. Topical intraocular pressure lowering therapy had to be re-initiated to achieve adequate pressure control.ConclusionWe describe a new potential complication of the XEN glaucoma implant.

Highlights

  • XEN glaucoma implant (XEN gel stent, Aquesys, Inc) is a new minimally invasive device approved for the treatment of glaucoma

  • Case presentation In our report we present a case of dislocation of the XEN implant into the anterior chamber

  • XEN implant has gained its position in our unit in the management of open angle glaucoma and we have performed over 40 cases during the first year

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Summary

Introduction

XEN glaucoma implant (XEN gel stent, Aquesys, Inc) is a new minimally invasive device approved for the treatment of glaucoma. The XEN implant is one of the new commercially available MIGS devices that can be offered to glaucoma patients. Reports about XEN implantation of different lumen tubes suggest favorable outcomes regarding the intraocular pressure control and number of pressure lowering medications [5, 6]. Case presentation In our report we present a case of dislocation of the XEN implant into the anterior chamber.

Results
Conclusion

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