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

Vanessa Vera,1 Arsham Sheybani,2 Dan Lindfield,3 Ingeborg Stalmans,4 Iqbal Ike K Ahmed5 1Department of Glaucoma, Unidad Oftalmologica de Caracas, Caracas, Venezuela; 2Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St Louis, MO, USA; 3Department of Ophthal...

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Autores principales:	Vera V, Sheybani A, Lindfield D, Stalmans I, Ahmed IIK
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	XEN Gel Stent bleb management bleb fibrosis bleb needling gel stent surgery Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/3a0b2bce8a34425cbc75835cc0c6c224
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spelling	oai:doaj.org-article:3a0b2bce8a34425cbc75835cc0c6c2242021-12-02T03:57:30ZRecommendations for the management of elevated intraocular pressure due to bleb fibrosis after XEN gel stent implantation1177-5483https://doaj.org/article/3a0b2bce8a34425cbc75835cc0c6c2242019-04-01T00:00:00Zhttps://www.dovepress.com/recommendations-for-the-management-of-elevated-intraocular-pressure-du-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Vanessa Vera,1 Arsham Sheybani,2 Dan Lindfield,3 Ingeborg Stalmans,4 Iqbal Ike K Ahmed5 1Department of Glaucoma, Unidad Oftalmologica de Caracas, Caracas, Venezuela; 2Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St Louis, MO, USA; 3Department of Ophthalmology, Royal Surrey County Hospital, Guildford, Surrey, UK; 4Glaucoma Unit, University Hospitals UZ Leuven, Leuven, Belgium; 5Glaucoma and Advanced Anterior Segment Surgery, University of Toronto, Toronto, ON, Canada 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. Keywords: glaucoma gel stent, bleb management, bleb fibrosis, glaucoma surgery, glaucoma filtering surgery, bleb needlingVera VSheybani ALindfield DStalmans IAhmed IIKDove Medical PressarticleXEN Gel Stentbleb managementbleb fibrosisbleb needlinggel stent surgeryOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 13, Pp 685-694 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	XEN Gel Stent bleb management bleb fibrosis bleb needling gel stent surgery Ophthalmology RE1-994
spellingShingle	XEN Gel Stent bleb management bleb fibrosis bleb needling gel stent surgery Ophthalmology RE1-994 Vera V Sheybani A Lindfield D Stalmans I Ahmed IIK Recommendations for the management of elevated intraocular pressure due to bleb fibrosis after XEN gel stent implantation
description	Vanessa Vera,1 Arsham Sheybani,2 Dan Lindfield,3 Ingeborg Stalmans,4 Iqbal Ike K Ahmed5 1Department of Glaucoma, Unidad Oftalmologica de Caracas, Caracas, Venezuela; 2Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St Louis, MO, USA; 3Department of Ophthalmology, Royal Surrey County Hospital, Guildford, Surrey, UK; 4Glaucoma Unit, University Hospitals UZ Leuven, Leuven, Belgium; 5Glaucoma and Advanced Anterior Segment Surgery, University of Toronto, Toronto, ON, Canada 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. Keywords: glaucoma gel stent, bleb management, bleb fibrosis, glaucoma surgery, glaucoma filtering surgery, bleb needling
format	article
author	Vera V Sheybani A Lindfield D Stalmans I Ahmed IIK
author_facet	Vera V Sheybani A Lindfield D Stalmans I Ahmed IIK
author_sort	Vera V
title	Recommendations for the management of elevated intraocular pressure due to bleb fibrosis after XEN gel stent implantation
title_short	Recommendations for the management of elevated intraocular pressure due to bleb fibrosis after XEN gel stent implantation
title_full	Recommendations for the management of elevated intraocular pressure due to bleb fibrosis after XEN gel stent implantation
title_fullStr	Recommendations for the management of elevated intraocular pressure due to bleb fibrosis after XEN gel stent implantation
title_full_unstemmed	Recommendations for the management of elevated intraocular pressure due to bleb fibrosis after XEN gel stent implantation
title_sort	recommendations for the management of elevated intraocular pressure due to bleb fibrosis after xen gel stent implantation
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/3a0b2bce8a34425cbc75835cc0c6c224
work_keys_str_mv	AT verav recommendationsforthemanagementofelevatedintraocularpressureduetoblebfibrosisafterxengelstentimplantation AT sheybania recommendationsforthemanagementofelevatedintraocularpressureduetoblebfibrosisafterxengelstentimplantation AT lindfieldd recommendationsforthemanagementofelevatedintraocularpressureduetoblebfibrosisafterxengelstentimplantation AT stalmansi recommendationsforthemanagementofelevatedintraocularpressureduetoblebfibrosisafterxengelstentimplantation AT ahmediik recommendationsforthemanagementofelevatedintraocularpressureduetoblebfibrosisafterxengelstentimplantation
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Recommendations for the management of elevated intraocular pressure due to bleb fibrosis after XEN gel stent implantation

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