Xen Gel Stent to Resolve Late Hypotony After Glaucoma Drainage Implant Surgery: A Novel Technique.

Abstract:

PURPOSE:To describe a new surgical method for treating late profound hypotony in 2 patients with glaucoma drainage implant (GDI). PATIENTS AND METHODS:Two patients, an 85-year-old woman and a 44-year-old woman, presented with choroidal effusions secondary related to chronic hypotony after GDI surgery. A novel technique was performed in both cases to narrow the lumen size of the GDI tube. The GDI tube was exposed and ligated temporarily with a polyglactin suture in both cases. The anterior part of the capsule wall was opened. The Xen stent was removed from its injector and pushed through the posterior orifice of the GDI tube. The whole Xen stent was inserted inside the tube to narrow the lumen size of the GDI tube. Once the Xen had been placed inside the tube lumen, a silk suture was tied around the GDI tube to secure the Xen in position. The ligation suture of the GDI tube was removed and suturing of the conjunctiva was performed. RESULTS:Before restriction of aqueous flow through the GDI, both patients had an intraocular pressure (IOP) of 2 mm Hg and blurry vison of 20/40 to 20/200. Following the Xen implant insertion, IOP ranged between 8 and 20 mm Hg and choroidal effusions resolved, and visual acuity improved. In both cases, IOP remained stable through 1 year of follow-up and no choroidal effusions or macular folds were noticed. CONCLUSIONS:A Xen implant placed inside the GDI tube offers an option for the treatment of chronic hypotony in eyes with GDI.

journal_name

J Glaucoma

journal_title

Journal of glaucoma

authors

Välimäki J

doi

10.1097/IJG.0000000000001022

subject

Has Abstract

pub_date

2018-10-01 00:00:00

pages

926-928

issue

10

eissn

1057-0829

issn

1536-481X

journal_volume

27

pub_type

杂志文章
  • Effects of Nonporous Silica Nanoparticles on Human Trabecular Meshwork Cells.

    abstract:PRECIS:Silica nanoparticles (SiNPs), which are potential drug carriers for glaucoma treatment, may induce mild dose-dependent cytotoxicity but not so severe as to compromise a mammalian target of rapamycin (mTOR) pathway in immortalized trabecular meshwork (TM) cells. PURPOSE:Nanoparticle-based ophthalmic drug deliver...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:10.1097/IJG.0000000000001709

    authors: Kim M,Park JH,Jeong H,Hong J,Park CY

    更新日期:2021-02-01 00:00:00

  • Comparison of Optical Coherence Tomography Findings in Patients With Primary Open-angle Glaucoma and Parkinson Disease.

    abstract:PURPOSE:To evaluate the peripapillary retinal nerve fiber layer (RNFL), ganglion cell complex, and macular thickness as well as their correlation with the severity of diseases. MATERIALS AND METHODS:This is a cross-sectional study and comparing both eyes of 26 patients with primary open-angle glaucoma, 25 patients wit...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:10.1097/IJG.0000000000000239

    authors: Eraslan M,Balci SY,Cerman E,Temel A,Suer D,Elmaci NT

    更新日期:2016-07-01 00:00:00

  • Glycerin-preserved Human-donor Corneoscleral Patch Grafts for Glaucoma Drainage Devices.

    abstract:PRECIS:Glycerin-preserved, human-donor, corneoscleral patch grafts are effective and safe for glaucoma drainage device (GDD) implantation, and they are comparable to previously reported materials. It can be preserved with the sterile technique for up to 12 months. PURPOSE:To evaluate the efficacy and safety of glyceri...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:10.1097/IJG.0000000000001610

    authors: Kitnarong N,Srikulsasitorn B,Aurboonsong T

    更新日期:2020-11-01 00:00:00

  • Gemella species-associated late-onset endophthalmitis after trabeculectomy with adjunctive mitomycin C.

    abstract:PURPOSE:To report 2 cases of delayed-onset, bleb-related endophthalmitis induced by Gemella species. METHODS:Interventional case report. RESULTS:Two patients developed bleb-related ocular infection attributable to Gemella haemolysans and Gemella morbillorum after trabeculectomy with adjunctive mitomycin C. Both patie...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:10.1097/IJG.0b013e31818c6f07

    authors: Sawada A,Mochizuki K,Katada T,Kawakami H,Yamamoto T,Mikamo H,Watanabe K

    更新日期:2009-08-01 00:00:00

  • Surgical output and clinic burden of glaucoma in lagos, Nigeria.

    abstract:PURPOSE:To estimate the outpatient clinic burden and surgical workload related to glaucoma in Lagos, Nigeria. METHODS:A multicentre study involving the 2 tertiary eye institutions, 7 secondary eye centers with eye care facilities, and the largest private eye hospital in Lagos state, Nigeria. Data on outpatient departm...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章,多中心研究

    doi:10.1097/IJG.0b013e318264cd80

    authors: Adekoya BJ,Onakoya AO,Shah SP,Adepoju FG

    更新日期:2014-01-01 00:00:00

  • Outcomes of inferonasal Baerveldt glaucoma drainage implant surgery.

    abstract:PURPOSE:To determine the outcomes of inferonasal Baerveldt glaucoma implant (BGI) surgery. PATIENTS AND METHODS:A retrospective, non-comparative case series of 182 eyes of 182 patients who underwent inferonasal placement of a Baerveldt glaucoma implant. The main outcome measures included intraocular pressure, number o...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章,多中心研究

    doi:10.1097/01.ijg.0000195597.30600.27

    authors: Harbick KH,Sidoti PA,Budenz DL,Venkatraman A,Bruther M,Grayson DK,Ko A,Yi GN

    更新日期:2006-02-01 00:00:00

  • Vision Loss With Sexual Activity.

    abstract::A 51-year-old white man presented with multiple episodes of transient painless unilateral vision loss precipitated by sexual intercourse. Examination was significant for closed angles bilaterally. His visual symptoms completely resolved following treatment with laser peripheral iridotomies. ...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:10.1097/IJG.0000000000000165

    authors: Lee MD,Odel JG,Rudich DS,Ritch R

    更新日期:2016-01-01 00:00:00

  • A review: "a comparison of treated and untreated glaucoma suspects" (4).

    abstract:OBJECTIVES:This study was conducted to evaluate the effect of long-term intraocular pressure reduction with timolol on the incidence of glaucomatous visual field defects and optic nerve cupping in individuals with ocular hypertension and to compare this incidence with that of a similar group on no treatment. ...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:

    authors: Vogel R

    更新日期:1993-01-01 00:00:00

  • Clinical Efficacy and Safety Outcomes of Micropulse Trans-Scleral Diode Cyclophotocoagulation in Patients with Advanced Glaucoma.

    abstract:PRECIS:Micropulse trans-scleral cyclophotocoagulation is only moderately effective in lowering intraocular pressure and useful as an adjunct procedure to other glaucoma surgeries. There was a small risk of loss of vision, prolonged hypotony and phthisis bulbi. AIMS:To determine the efficacy and safety of a single micr...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:10.1097/IJG.0000000000001729

    authors: Lim JYE,Cecilia AM,Lim KAD,Sng C,Loon SC,Lun WXK,Chew TKP,Koh TCV

    更新日期:2020-10-29 00:00:00

  • Surgical Technique for Pars Plana Ahmed Glaucoma Valve Implantation in Advanced Glaucoma: The Upside-Down Technique.

    abstract:PRCIS:Ahmed glaucoma valve implantation using the upside-down technique resulted in an aqueous humor outflow pathway, occurring primarily on the scleral side and secondarily on the conjunctival side, and was effective in treating refractory glaucoma. PURPOSE:To describe the Ahmed glaucoma valve (AGV) surgical techniqu...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:10.1097/IJG.0000000000001791

    authors: Masuda Y,Saito Y,Oki T,Hayashi T,Takahashi G,Nakano T

    更新日期:2021-01-13 00:00:00

  • Reproducibility of the new Goldmann AT900D digital tonometer.

    abstract:PURPOSE:To examine the reproducibility of the new digital Goldmann applanation tonometer AT 900D (DGT) for measuring intraocular pressure and to compare its readings with those provided by the conventional analog Goldmann tonometer (AGT). METHODS:In 3 different sessions (S1, S2, and S3), 3 intraocular pressure measure...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:10.1097/IJG.0b013e31820bd1e9

    authors: Morales-Fernandez L,Martinez-de-la-Casa JM,Garcia-Feijoo J,Saenz-Frances F,Santos-Bueso E,Garcia-Sanchez J

    更新日期:2012-03-01 00:00:00

  • Corneal parameters and difference between goldmann applanation tonometry and dynamic contour tonometry in normal eyes.

    abstract:PURPOSE:To compare the difference between 2 methods of measuring the intraocular pressure (IOP), namely, Goldmann applanation tonometry (GAT) and dynamic contour tonometry (DCT) and to study the relationship with the corneal parameters in patients with no glaucoma signs. METHODS:One hundred and eighteen eyes of 118 he...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:10.1097/IJG.0b013e31816224bd

    authors: Lanza M,Borrelli M,De Bernardo M,Filosa ML,Rosa N

    更新日期:2008-09-01 00:00:00

  • Intra- and interrater agreement with cumulative defect curves.

    abstract:PURPOSE:To examine intra- and interrater agreement when analyzing cumulative defect curves. Cumulative defect (Bebié) curves provide a graphical representation of the visual field and allow a subjective classification of diffuse and localized loss. METHODS:We used 75 Humphrey 30-2 visual field tests, randomly chosen f...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:

    authors: Chan AB,Chauhan BC,LeBlanc RP,McCormick TA,Shaw AM

    更新日期:1997-04-01 00:00:00

  • Association of the optic disc structure with the use of antihypertensive medications: the thessaloniki eye study.

    abstract:PURPOSE:To investigate the association of antihypertensive medications with optic disc structure by blood pressure (BP) level, in nonglaucoma subjects. DESIGN:Cross-sectional, population-based study. METHODS:A subset of Thessaloniki Eye Study participants was included in this study. Subjects were interviewed for medi...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:10.1097/IJG.0b013e31824d1e12

    authors: Harris A,Topouzis F,Wilson MR,Founti P,Kheradiya NS,Anastasopoulos E,Gong G,Yu F,Jonescu-Cuypers CP,Pappas T,Koskosas A,Coleman AL

    更新日期:2013-09-01 00:00:00

  • A new technique for diode laser cyclophotocoagulation.

    abstract::Destruction of the ciliary body, an option in glaucoma surgical treatment, can be performed using various methods. Laser energy, now the principle source for cyclodestruction, can be delivered in a transpupillar, transvitreal in conjunction with a vitrectomy and transscleral manner. The current technique for endocyclo...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:10.1097/IJG.0b013e31826981b1

    authors: Vila-Arteaga J,Stirbu O,Suriano MM,Vila-Mascarell E

    更新日期:2014-01-01 00:00:00

  • Scanning laser polarimetry with enhanced corneal compensation in patients with open-angle glaucoma.

    abstract:AIMS:To compare the retinal nerve fiber layer thickness (RNFLT) parameters obtained with newly introduced GDx with enhanced corneal compensation (ECC) and those with GDx with variable corneal compensation (VCC) and to evaluate their reproducibility and the correspondence with visual field damage (VFD) in total or secto...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:10.1097/IJG.0b013e318133fb47

    authors: Saito H,Tomidokoro A,Yanagisawa M,Aihara M,Tomita G,Araie M

    更新日期:2008-01-01 00:00:00

  • Evaluating the Quality of Life of Glaucoma Patients Using the State-Trait Anxiety Inventory.

    abstract:PURPOSE:To evaluate anxiety felt by glaucoma patients. PATIENTS AND METHODS:In total, 472 glaucoma patients responded to a questionnaire on anxiety, subjective symptoms, and vision-related quality of life (VR-QOL) associated with glaucoma. Anxiety was evaluated using the State-Trait Anxiety Inventory (STAI), state anx...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:10.1097/IJG.0000000000000761

    authors: Otori Y,Takahashi G,Urashima M,Kuwayama Y,Quality of Life Improvement Committee.

    更新日期:2017-11-01 00:00:00

  • Autologous patch graft in tube shunt surgery.

    abstract:PURPOSE:To evaluate an alternate method of covering the subconjunctival portion of the tube in aqueous shunt surgery. Evidence of tube erosion, graft-related infection, graft melting, or other associated intraocular complications were evaluated. METHODS:A retrospective study of 16 patients (17 eyes) who underwent tube...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:

    authors: Aslanides IM,Spaeth GL,Schmidt CM,Lanzl IM,Gandham SB

    更新日期:1999-10-01 00:00:00

  • Mid-term Clinical Results of CO2 Laser-assisted Sclerectomy Surgery (CLASS) for Open-Angle Glaucoma Treatment.

    abstract:PURPOSE:To evaluate the efficacy and safety of CO2 Laser-assisted Sclerectomy Surgery (CLASS) in primary and pseudoexfoliative open-angle glaucoma. MATERIALS AND METHODS:Single-arm, open-label study included data from 9 medical centers located in 7 countries. Subjects underwent nonpenetrating CLASS procedure with a CO...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/IJG.0000000000000437

    authors: Geffen N,Mimouni M,Sherwood M,Assia EI

    更新日期:2016-12-01 00:00:00

  • Deep sclerectomy with bevacizumab and mitomycin C: a comparative study.

    abstract:PURPOSE:To assess the comparative efficacy and safety of primary deep sclerectomy (DS) augmented with subconjunctival Bevacizumab and intraoperative Mitomycin C (MMC). METHODS:Retrospective, comparative case-control series of consecutive primary DS between January 2008 and December 2010. Seventy-five eyes of 73 patien...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:10.1097/IJG.0b013e3182883c0c

    authors: Anand N,Bong C

    更新日期:2015-01-01 00:00:00

  • Risk Factors Associated With Glaucomatous Progression in Pseudoexfoliation Patients.

    abstract:PURPOSE:To investigate risk factors associated with glaucomatous progression in pseudoexfoliation glaucoma (PXG) patients. PATIENTS AND METHODS:A retrospective observational study with a total of 48 PXG patients and age, sex, and visual field (VF) test mean deviation-matched 48 primary open-angle glaucoma (POAG) patie...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章,多中心研究

    doi:10.1097/IJG.0000000000000791

    authors: Moon Y,Sung KR,Kim JM,Shim SH,Yoo C,Park JH

    更新日期:2017-12-01 00:00:00

  • Clinical impact of 8 prospective, randomized, multicenter glaucoma trials.

    abstract:PURPOSE:To determine the impact of 8 multicenter randomized clinical trials (RCTs) on glaucoma practice. METHODS:An electronic survey was distributed to the members of the American Glaucoma Society (AGS). Each participant was asked 2 study-specific questions and 1 standard question common to all 8 RCTs assessing the s...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:10.1097/IJG.0b013e318295200b

    authors: Panarelli JF,Banitt MR,Sidoti PA,Budenz DL,Singh K

    更新日期:2015-01-01 00:00:00

  • Ab Interno Tube Occlusion for Postoperative Hypotony in a Patient With an Ahmed Glaucoma Drainage Device.

    abstract:PURPOSE:To report a case of Ahmed glaucoma valve-induced hypotony that was successfully managed with postoperative intraluminal stenting of the aqueous shunt tube. PATIENT AND METHODS:We describe a 68-year-old man with advanced uveitic glaucoma with an intraocular pressure (IOP) of 25 mm Hg in the left eye. The patien...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:10.1097/IJG.0000000000000869

    authors: Feinstein M,Moussa K,Han Y

    更新日期:2018-03-01 00:00:00

  • Detection of glaucoma by spectral domain-scanning laser ophthalmoscopy/optical coherence tomography (SD-SLO/OCT) and time domain optical coherence tomography.

    abstract:PURPOSE:To evaluate the relationship between time-domain and spectral domain-scanning laser ophthalmoscopy/optical coherence tomography (SD-SLO/OCT), and to compare the ability of these methods to detect glaucoma. METHODS:Forty-nine glaucoma and 43 healthy participants were imaged by SD-SLO/OCT and Stratus OCT. Bland-...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:10.1097/IJG.0b013e3181d1d332

    authors: Cho JW,Sung KR,Hong JT,Um TW,Kang SY,Kook MS

    更新日期:2011-01-01 00:00:00

  • Gonioscopy-assisted Transluminal Trabeculotomy in Uveitic Glaucoma Secondary to Juvenile Idiopathic Arthritis.

    abstract::Gonioscopy-assisted transluminal trabeculotomy (GATT) is a minimally invasive ab interno procedure, performed with guidance of an illuminating microcatheter device (iTrack). The pathophysiology of raised intraocular pressure (IOP) in uveitic glaucoma is commonly due to increased resistance at the trabecular meshwork-S...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:10.1097/IJG.0000000000001641

    authors: Sachdev A,Khalili A,Choi J,Stead RE,Sung VCT

    更新日期:2020-10-01 00:00:00

  • Recurrent Exposure of XEN Gel Stent Implant and Conjunctival Erosion.

    abstract:PURPOSE:The purpose of this study was to report a case of recurrent conjunctival erosion and XEN Gel Stent exposure after implantation in a primary open-angle glaucoma patient. Minimally invasive glaucoma surgery (MIGS) is a new approach in glaucoma surgery, and there is a lack of published data with regard to the mana...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:10.1097/IJG.0000000000001146

    authors: Arnould L,Theillac V,Moran S,Gatinel D,Grise-Dulac A

    更新日期:2019-03-01 00:00:00

  • Deep Sclerectomy With a New Nonabsorbable Uveoscleral Implant (Esnoper-Clip): 1-Year Outcomes.

    abstract:PURPOSE:To report the safety and the effectiveness of deep sclerectomy (DS) with a new nonabsorbable uveoscleral hema implant (Esnoper-Clip) designed to increase trabecular and uveoscleral outflow and to achieve higher intrascleral blebs. MATERIALS AND METHODS:Twenty-seven eyes of 27 patients with open-angle glaucoma,...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:10.1097/IJG.0000000000000253

    authors: Loscos-Arenas J,Parera-Arranz A,Romera-Romera P,Castellvi-Manent J,Sabala-Llopart A,de la Cámara-Hermoso J

    更新日期:2015-08-01 00:00:00

  • Changes in Ocular Hypotensive Drug Usage for Glaucoma Treatment After Cataract Surgery: A Nationwide Population-based Study in Taiwan.

    abstract:PURPOSE:The aims of this study were to observe the changes in the demand for prescriptions of ocular hypertensive drug (OHD) after cataract surgery, to investigate patterns of change in the required OHD amount in open-angle glaucoma (OAG) and angle-closure glaucoma (ACG) cases, and to determine the associated factors r...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:10.1097/IJG.0000000000000969

    authors: Chang PY,Wang JY,Chang SW,Chang YC

    更新日期:2018-07-01 00:00:00

  • Repeatability of pattern electroretinogram measurements using a new paradigm optimized for glaucoma detection.

    abstract:PURPOSE:To determine the within-trial and between-trial repeatability of pattern electroretinogram (PERG) measurements in healthy and patient eyes, using a new clinical instrument, the PERGLA. STUDY DESIGN:In all, 70 eyes of 35 healthy individuals (intraocular pressure <22 mm Hg, healthy optic disc by stereophotograph...

    journal_title:Journal of glaucoma

    pub_type: 临床试验,杂志文章

    doi:10.1097/IJG.0b013e31818c6f44

    authors: Bowd C,Tafreshi A,Vizzeri G,Zangwill LM,Sample PA,Weinreb RN

    更新日期:2009-08-01 00:00:00

  • Decreased cardiovagal regulation in exfoliation syndrome.

    abstract:PURPOSE:To investigate the parasympathetic cardiovascular regulation, baroreflex sensitivity (BRS), and pulse wave velocity (PWV) in exfoliation syndrome (XFS). METHODS:Heart rate variability indices [standard deviation of all RR intervals (SDNN); the mean of absolute successive differences (RMSSD); the percentage of ...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:10.1097/IJG.0b013e3181379d67

    authors: Visontai Z,Horváth T,Kollai M,Holló G

    更新日期:2008-03-01 00:00:00