Sánchez-Monroy J, Isanta OC, Ferrandez AB, Fuentemilla ME, Bambó RMP

Language: Spanish
References: 5
Page: 1-10
PDF size: 313.57 Kb.

ABSTRACT

Due to its great development, minimally invasive glaucoma surgery (MIGS) has become a useful alternative in the treatment of this condition, proving effective for intraocular pressure reduction. A case is presented of a male 51-year-old patient with glaucoma in progression who required maximum medical treatment to control his disease. The patient underwent a triple surgical procedure: intraocular lens removal surgery, phacoemulsification and XEN® implantation. The surgery was successful: pressure control was achieved and hypotensive medication was completely eliminated, with which the patient's quality of life improved considerably. MIGS is a very valid alternative in glaucoma management, due to its excellent results, benefits with respect to classic glaucoma surgery, and a good safety profile. The clinical case herein presented illustrates the use of XEN® implantation as a useful therapeutic option in a glaucoma patient, and reference is made to its indications, benefits and advantages.

REFERENCES

1. Hohberger B, Welge-Lüßen UC, Lämmer R. MIGS: therapeutic success of combined Xen Gel Stent implantation with cataract surgery. Graefes Arch Clin Exp Ophthalmol. 2018:256(3):621-5. DOI: https://doi.org/10.1007/s00417-017-3895-3

2. Ansari E. An Update on Implants for Minimally Invasive Glaucoma Surgery (MIGS). Ophthalmol Ther. 2017:6(2):233-41. DOI: https://doi.org/10.1007/s40123-017-0098-2

3. Sheybani A, Dick HB, Ahmed II. Early Clinical Results of a Novel Ab Interno Gel Stent for the Surgical Treatment of Open-angle Glaucoma. J Glaucoma. 2016:25(7):e691-6. DOI: https://doi.org/10.1097/IJG.0000000000000352

4. Sng CCA, Chew PTK, Htoon HM, Lun K, Jeyabal P, Ang M. Case Series of Combined XEN Implantation and Phacoemulsification in Chinese Eyes: One-Year Outcomes. Adv Ther. 2019:36(12):3519-29. DOI: https://doi.org/10.1007/s12325-019-01127-w

5. Tanito M, Matsuzaki Y, Ikeda Y, Fujihara E. Comparison of surgically induced astigmatism following different glaucoma operations. Clin Ophthalmol. 2017;11:2113