"Dry Lake" technique for the treatment of hypertrophic bleb following XEN(®) Gel Stent placement.
ACTA ACUST UNITED AC 2015;
90:536-8. [PMID:
26008922 DOI:
10.1016/j.oftal.2015.03.003]
[Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2014] [Accepted: 03/07/2015] [Indexed: 10/23/2022]
Abstract
CASE REPORT
The case of a patient with previous uncomplicated XEN(®) drainage glaucoma surgery is described, who presented with hypertrophic bleb and mechanical ectropion. Treatment consisted of the «Dry Lake» procedure to drain the hypertrophic bleb following blockage with viscoelastic of the ab-interno stent and bleb sealing with a tissue adhesive.
DISCUSSION
Proposals for the management of this type of bleb include therapeutic strategies, sutures or even autologous blood. The use of Tissucol(®), already described in glaucoma surgery, may be appropriate to treat this complication of XEN(®) placement.
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