XEN glaucoma treatment system in the management of refractory glaucomas: a short review on trial data and potential role in clinical practice
Autor: | A Bertoncello, A De Gregorio, Giulia Stevan, Emilio Pedrotti, Simonetta Morselli |
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Rok vydání: | 2018 |
Předmět: |
Intraocular pressure
medicine.medical_specialty genetic structures Minimally invasive glaucoma surgery medicine.medical_treatment Glaucoma Review surgery 03 medical and health sciences 0302 clinical medicine Refractory Ophthalmology medicine In patient Xen Gel stent subconjunctival drainage Treatment system business.industry MIGS Stent RE1-994 medicine.disease eye diseases Clinical Practice glaucoma gel stent minimally invasive 030221 ophthalmology & optometry business 030217 neurology & neurosurgery |
Zdroj: | Clinical Ophthalmology (Auckland, N.Z.) Clinical Ophthalmology, Vol Volume 12, Pp 773-782 (2018) |
ISSN: | 1177-5483 |
Popis: | A De Gregorio,1 E Pedrotti,2 G Stevan,1 A Bertoncello,1 S Morselli1 1Ophthalmic Unit, San Bassiano Hospital, Bassano del Grappa, Italy; 2Eye Clinic, Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Verona, Italy Abstract: The recent development of new devices that are significantly less invasive, collectively termed minimally invasive glaucoma surgery, offers new perspective of intraocular pressure reduction with less risk, short operating times, and rapid recovery. The aim of this work is to provide a panoramic review of the currently published clinical data to assess the potential role of XEN gel stent (Allergan PLC, Irvine, CA, USA) in the management of glaucoma, which is the only filtering minimally invasive glaucoma surgery device that allows the subconjunctival filtration. The ab interno placement of the XEN gel stent offers an alternative for lowering intraocular pressure in refractory glaucoma as a final step, and in patients intolerant to medical therapy as an early surgical approach with minimum conjunctival tissue disruption, restricted flow to avoid hypotony, and long-term safety. Keywords: glaucoma, gel stent, minimally invasive, surgery, subconjunctival drainage |
Databáze: | OpenAIRE |
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