Malignant glaucoma after XEN45 implant

Minimally invasive glaucoma surgery for chronic open-angle glaucoma treatment tries to reduce the amount of chronic topical drug treatment, delaying invasive glaucoma surgery and diminishing the number of surgical complications. XEN45 uses subconjunctival drainage in order to reduce intraocular pres...

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Veröffentlicht in:Archivos de la Sociedad Española de Oftalmología (English ed.) 2019-03, Vol.94 (3), p.134-137
Hauptverfasser: Montolío Marzo, S, Lanzagorta Aresti, A, Davó Cabrera, J M, Alfonso Muñóz, E A, Piá Ludeña, J V, Palacios Pozo, E
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container_end_page 137
container_issue 3
container_start_page 134
container_title Archivos de la Sociedad Española de Oftalmología (English ed.)
container_volume 94
creator Montolío Marzo, S
Lanzagorta Aresti, A
Davó Cabrera, J M
Alfonso Muñóz, E A
Piá Ludeña, J V
Palacios Pozo, E
description Minimally invasive glaucoma surgery for chronic open-angle glaucoma treatment tries to reduce the amount of chronic topical drug treatment, delaying invasive glaucoma surgery and diminishing the number of surgical complications. XEN45 uses subconjunctival drainage in order to reduce intraocular pressure. The report is presented of a patient following phacoemulsification, intraocular lens implantation and XEN45 implant. After four days acute malignant glaucoma was observed, with stage 3 athalamia requiring pars plana vitrectomy and secondary Ahmed valve implantation. The lower rate of complications due to minimally invasive glaucoma surgery has increased its use. Nevertheless, it is not free of severe adverse events, even requiring a multidisciplinary approach as in our malignant glaucoma report.
doi_str_mv 10.1016/j.oftal.2018.10.023
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subjects Aged
Female
Glaucoma - etiology
Glaucoma Drainage Implants - adverse effects
Humans
Postoperative Complications - etiology
title Malignant glaucoma after XEN45 implant
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