دورية أكاديمية

Appositional Choroidal Detachment Following XEN45 Gel Stent Requiring Surgical Drainage.

التفاصيل البيبلوغرافية
العنوان: Appositional Choroidal Detachment Following XEN45 Gel Stent Requiring Surgical Drainage.
المؤلفون: Shah YS; Department of Ophthalmology & Visual Science, Rutgers New Jersey Medical School, Newark., Oydanich M; Department of Ophthalmology & Visual Science, Rutgers New Jersey Medical School, Newark., Desai RU; Freehold Ophthalmology, Freehold., Chinskey N; NJ Retina, Toms River, NJ., Khouri AS; Department of Ophthalmology & Visual Science, Rutgers New Jersey Medical School, Newark.
المصدر: Journal of glaucoma [J Glaucoma] 2022 Mar 01; Vol. 31 (3), pp. 212-213.
نوع المنشور: Case Reports; Journal Article
اللغة: English
بيانات الدورية: Publisher: Wolters Kluwer Health, Inc Country of Publication: United States NLM ID: 9300903 Publication Model: Print Cited Medium: Internet ISSN: 1536-481X (Electronic) Linking ISSN: 10570829 NLM ISO Abbreviation: J Glaucoma Subsets: MEDLINE
أسماء مطبوعة: Publication: <2015- > : Philadelphia, PA : Wolters Kluwer Health, Inc.
Original Publication: New York, N.Y. : Raven Press, c1992-
مواضيع طبية MeSH: Choroidal Effusions*/diagnosis , Choroidal Effusions*/etiology , Choroidal Effusions*/surgery , Glaucoma Drainage Implants*/adverse effects , Glaucoma, Open-Angle*/diagnosis , Glaucoma, Open-Angle*/surgery, Aged, 80 and over ; Drainage ; Humans ; Intraocular Pressure ; Male ; Stents
مستخلص: An 82-year-old man with severe primary open-angle glaucoma on maximal medical therapy underwent an ab externo closed conjunctival Xen45 device insertion with mitomycin C. The surgery was uncomplicated, with a first postoperative day intraocular pressure of 4 mm Hg and visual acuity of 20/40 OD. Ten days later, the patient presented with an intraocular pressure of 5 mm Hg and a visual acuity of counting fingers at 5 feet. Examination showed Seidel negative bleb, shallow anterior chamber, and large nonappositional choroidal detachments. Medical therapy with steroids and cycloplegia was initiated. One week later, the serous choroidal detachments became appositional, and Xen explantation and surgical drainage of the choroidal detachment was performed. Postoperatively, the vision improved to 20/60. Significant choroidal detachments can occur after XEN45 implantation requiring surgical intervention.
Competing Interests: Disclosure: The authors declare no conflict of interest.
(Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.)
References: Fea AM, Durr GM, Marolo P, et al. XEN(®) gel stent: a comprehensive review on its use as a treatment option for refractory glaucoma. Clin Ophthalmol). 2020;14:1805–1832.
Gillmann K, Bravetti GE, Mermoud A, et al. XEN gel stent in pseudoexfoliative glaucoma: 2-year results of a prospective evaluation. J Glaucoma. 2019;28:676–684.
Buffault J, Baudouin C, Labbé A. XEN® gel stent for management of chronic open angle glaucoma: a review of the literature. J Fr Ophtalmol. 2019;42:e37–e46.
Grover DS, Flynn WJ, Bashford KP, et al. Performance and safety of a new ab interno gelatin stent in refractory glaucoma at 12 months. Am J Ophthalmol. 2017;183:25–36.
Stringa F, Ali Z, Christou S, et al. Managing delayed suprachoroidal hemorrhage after insertion of XEN45 glaucoma device. J Glaucoma. 2019;28:e72–e74.
Olgun A, Imamoglu S, Karapapak M, et al. Endophthalmitis after XEN gel stent implantation: 2 cases. J Glaucoma. 2018;27:e191–e194.
Gupta C, Mathews D. XEN® stent complications: a case series. BMC Ophthalmol. 2019;19:253.
Gabbay IE, Allen F, Morley C, et al. Efficacy and safety data for the XEN45 implant at 2 years: a retrospective analysis. Br J Ophthalmol. 2020;104:1125–1130.
Widder RA, Dietlein TS, Dinslage S, et al. The XEN45 gel stent as a minimally invasive procedure in glaucoma surgery: success rates, risk profile, and rates of re-surgery after 261 surgeries. Graefes Arch Clin Exp Ophthalmol. 2018;256:765–771.
Busch T, Skiljic D, Rudolph T, et al. Learning curve and one-year outcome of XEN 45 gel stent implantation in a Swedish population. Clin Ophthalmol (Auckland, NZ). 2020;14:3719–3733.
Tan S, Walkden A, Au L. One-year result of XEN45 implant for glaucoma: efficacy, safety, and postoperative management. Eye. 2018;32:324–332.
Tadrosse AF, Khouri AS. Laser iridoplasty to treat iris-occluded XEN gel stent. J Glaucoma. 2020;29:e91–e92.
Ku WC, Lin YH, Chuang LH, et al. Choroidal detachment after filtering surgery. Chang Gung Med J. 2005;28:151–158.
Schrieber C, Liu Y. Choroidal effusions after glaucoma surgery. Curr Opin Ophthalmol. 2015;26:134–142.
Cutolo CA, Negri L, Olivari S, et al. Choroidal detachment after XEN gel stent implantation. J Ophthalmol. 2021;2021:6674505.
تواريخ الأحداث: Date Created: 20211113 Date Completed: 20220321 Latest Revision: 20230912
رمز التحديث: 20231215
DOI: 10.1097/IJG.0000000000001963
PMID: 34772875
قاعدة البيانات: MEDLINE
الوصف
تدمد:1536-481X
DOI:10.1097/IJG.0000000000001963