XEN Gel Stent in Pediatric Glaucoma.
Smith Oluwatosin U, Grover Davinder S, Emanuel Mathew E, Godfrey David G, Fellman Ronald L
AI Summary
XEN gel stents safely and effectively lowered eye pressure in three children with congenital glaucoma, offering a viable surgical option for this challenging condition.
Abstract
Purpose
To report a series of 3 eyes of 3 children with congenital glaucoma receiving the XEN gel stent implant.
Patients and methods: An interventional case series is reported.
Results
Three eyes underwent implantation of the gel stent. In 2 cases, the gel implant procedure was performed after failed trabeculotomy, while in the third eye, primary gel stent implantation was performed. One eye received 2 implants. Three procedures were performed via an ab interno approach while the fourth was performed ab externo. No device-related complications were observed. In all 3 eyes, intraocular pressure was controlled without the use of topical medications through 6 to 24 months of follow-up.
Conclusions
The gel stent implant can be safely used in children with congenital glaucoma and effectively lowers intraocular pressure in these eyes. This procedure is a viable follow-up to, or replacement for, traditional angle surgery in eyes with congenital glaucoma.
MeSH Terms
Shields Classification
Key Concepts5
The XEN gel stent implant can be safely used in children with congenital glaucoma.
The XEN gel stent implant effectively lowers intraocular pressure in children with congenital glaucoma.
In 3 eyes of 3 children with congenital glaucoma receiving the XEN gel stent implant, intraocular pressure was controlled without the use of topical medications through 6 to 24 months of follow-up.
The XEN gel stent implant procedure is a viable follow-up to, or replacement for, traditional angle surgery in eyes with congenital glaucoma.
The XEN gel stent implant procedure was performed after failed trabeculotomy in 2 cases of children with congenital glaucoma, while primary gel stent implantation was performed in a third eye.
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