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Title: Cutting the subconjunctival fragment of the XEN gel implant during needling procedure
Authors: Bustros, Youssef
Chaudhary, Ankita
Salinas, Lauriane
Mansouri, Kaweh
Affiliations: Faculty of Medicine 
Keywords: Complication
XEN gel implant
Minimally invasive glaucoma surgery
Issue Date: 2020
Publisher: SAGE
Part of: European Journal of Ophthalmology
Volume: 30
Issue: 1
Start page: NP11
End page: NP15
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.
ISSN: 11206721
DOI: 10.1177/1120672118805876
Ezproxy URL: Link to full text
Type: Journal Article
Appears in Collections:Faculty of Medicine

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