Conjunctival bleb tearing by XEN gel stent after conjunctival compression sutures.

PURPOSE: As minimally invasive glaucoma surgery devices emerge, newer complications are reported. XEN gel stent is safer than classic glaucoma surgery but may also lead to severe adverse effects as hypotony. Compression conjunctival sutures are a useful treatment for overfiltration hypotony after XE...

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Detalles Bibliográficos
Autores: Montolío-Marzo S, Lanzagorta-Aresti A, Piá-Ludeña JV, Davó-Cabrera JM
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Repositorio:r-FISABIO. Repositorio Institucional de Producción Científica
OAI Identifier:oai:fisabio.fundanetsuite.com:p9340
Acceso en línea:https://fisabio.portalinvestigacion.com/publicaciones/9340
Access Level:acceso abierto
Palabra clave:MIGS
XEN
compression sutures
hypotony
minimally invasive glaucoma surgery
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repository_id_str
spelling Conjunctival bleb tearing by XEN gel stent after conjunctival compression sutures.Montolío-Marzo SLanzagorta-Aresti APiá-Ludeña JVDavó-Cabrera JMMIGSXENcompression sutureshypotonyminimally invasive glaucoma surgeryPURPOSE: As minimally invasive glaucoma surgery devices emerge, newer complications are reported. XEN gel stent is safer than classic glaucoma surgery but may also lead to severe adverse effects as hypotony. Compression conjunctival sutures are a useful treatment for overfiltration hypotony after XEN gel stent implantation, but might force bleb tearing by the implant as it gets tightly close to the sutured conjunctiva. This complication has not been previously reported. METHODS: We report a patient with overfiltration hypotony after XEN gel implantation. Conjunctival compression sutures and implant relocation ab interno were performed obtaining a good outcome. As conjunctiva got tightly close to the stent, the device eroded the bleb so leakage and implant extrusion were found. RESULTS: Bleb reconstruction by conjunctival autograft was performed in order to avoid hypotony due to continuous conjunctival leakage. CONCLUSION: Conjunctival compression sutures may be used for overfiltration control after XEN gel implantation but we must be aware of potential conjunctival damage due to implant erosion even if it is correctly positioned. Close follow-up and early suture release may be convenient in these patients.SAGE PUBLICATIONS LTD2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://fisabio.portalinvestigacion.com/publicaciones/9340EUROPEAN JOURNAL OF OPHTHALMOLOGYISSN: 11206721ISSNe: 17246016reponame:r-FISABIO. Repositorio Institucional de Producción Científicainstname:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)Inglésinfo:eu-repo/semantics/openAccessoai:fisabio.fundanetsuite.com:p93402026-06-11T12:45:17Z
dc.title.none.fl_str_mv Conjunctival bleb tearing by XEN gel stent after conjunctival compression sutures.
title Conjunctival bleb tearing by XEN gel stent after conjunctival compression sutures.
spellingShingle Conjunctival bleb tearing by XEN gel stent after conjunctival compression sutures.
Montolío-Marzo S
MIGS
XEN
compression sutures
hypotony
minimally invasive glaucoma surgery
title_short Conjunctival bleb tearing by XEN gel stent after conjunctival compression sutures.
title_full Conjunctival bleb tearing by XEN gel stent after conjunctival compression sutures.
title_fullStr Conjunctival bleb tearing by XEN gel stent after conjunctival compression sutures.
title_full_unstemmed Conjunctival bleb tearing by XEN gel stent after conjunctival compression sutures.
title_sort Conjunctival bleb tearing by XEN gel stent after conjunctival compression sutures.
dc.creator.none.fl_str_mv Montolío-Marzo S
Lanzagorta-Aresti A
Piá-Ludeña JV
Davó-Cabrera JM
author Montolío-Marzo S
author_facet Montolío-Marzo S
Lanzagorta-Aresti A
Piá-Ludeña JV
Davó-Cabrera JM
author_role author
author2 Lanzagorta-Aresti A
Piá-Ludeña JV
Davó-Cabrera JM
author2_role author
author
author
dc.subject.none.fl_str_mv MIGS
XEN
compression sutures
hypotony
minimally invasive glaucoma surgery
topic MIGS
XEN
compression sutures
hypotony
minimally invasive glaucoma surgery
description PURPOSE: As minimally invasive glaucoma surgery devices emerge, newer complications are reported. XEN gel stent is safer than classic glaucoma surgery but may also lead to severe adverse effects as hypotony. Compression conjunctival sutures are a useful treatment for overfiltration hypotony after XEN gel stent implantation, but might force bleb tearing by the implant as it gets tightly close to the sutured conjunctiva. This complication has not been previously reported. METHODS: We report a patient with overfiltration hypotony after XEN gel implantation. Conjunctival compression sutures and implant relocation ab interno were performed obtaining a good outcome. As conjunctiva got tightly close to the stent, the device eroded the bleb so leakage and implant extrusion were found. RESULTS: Bleb reconstruction by conjunctival autograft was performed in order to avoid hypotony due to continuous conjunctival leakage. CONCLUSION: Conjunctival compression sutures may be used for overfiltration control after XEN gel implantation but we must be aware of potential conjunctival damage due to implant erosion even if it is correctly positioned. Close follow-up and early suture release may be convenient in these patients.
publishDate 2022
dc.date.none.fl_str_mv 2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://fisabio.portalinvestigacion.com/publicaciones/9340
url https://fisabio.portalinvestigacion.com/publicaciones/9340
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv SAGE PUBLICATIONS LTD
publisher.none.fl_str_mv SAGE PUBLICATIONS LTD
dc.source.none.fl_str_mv EUROPEAN JOURNAL OF OPHTHALMOLOGY
ISSN: 11206721
ISSNe: 17246016
reponame:r-FISABIO. Repositorio Institucional de Producción Científica
instname:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
instname_str Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
reponame_str r-FISABIO. Repositorio Institucional de Producción Científica
collection r-FISABIO. Repositorio Institucional de Producción Científica
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,198674

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