Cutting the subconjunctival fragment of the XEN gel implant during needling procedure.

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Cutting the subconjunctival fragment of the XEN gel implant during needling procedure.

Eur J Ophthalmol. 2020 Jan;30(1):NP11-NP15

Authors: Bustros Y, Chaudhary A, Salinas L, Mansouri K

Abstract
PURPOSE: To describe the case and the follow-up of an inadvertently damaged XEN gel implant during needling procedure.
METHODS: Case report.
RESULTS: A 60-year-old African American patient underwent an uncomplicated combined phacoemulsification with the insertion of a XEN gel implant. Two months postoperatively, a needling procedure was required. During the needling procedure, a fragment of the XEN gel implant was inadvertently damaged. One month postoperatively, the intraocular pressure was still controlled and the bleb was functioning well.
CONCLUSION: This case report reveals a previously unreported complication concerning XEN gel implant. It is important for the surgeon to pay attention during needling procedure, especially if there is a subconjunctival hemorrhage impairing the view, to defer the procedure until good visibility exists.

PMID: 30328376 [PubMed – indexed for MEDLINE]

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