Recommendations for the management of elevated intraocular pressure due to bleb fibrosis after XEN gel stent implantation

Vanessa Vera, Arsham Sheybani, Dan Lindfield, Ingeborg Stalmans, Iqbal Ike K. Ahmed

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Surgical management of glaucoma offers a means of effective disease control. A gel stent that facilitates drainage to the subconjunctival space offers intraocular pressure (IOP) reduction similar to traditional glaucoma filtering surgeries in a less invasive manner. However, like all subconjunctival filtering procedures that result in a bleb, fibrosis can present as a cause of elevated IOP. The following proposed techniques and recommendations for managing elevated IOP due to bleb fibrosis after gel stent implantation are based on the clinical experience of the authors. The goal of this paper is to improve outcomes following gel stent surgery by providing guidance on assessment of bleb function and strategies for bleb enhancement.

Original languageEnglish
Pages (from-to)679-684
Number of pages6
JournalClinical Ophthalmology
Volume13
DOIs
StatePublished - Jan 1 2019

Keywords

  • Bleb fibrosis
  • Bleb management
  • Bleb needling
  • Glaucoma filtering surgery
  • Glaucoma gel stent
  • Glaucoma surgery

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