ISSN: 2155-9570
Department of Neuromuscular and Sense Organs, Careggi University Hospital, Florence, Italy
Research Article
Sparkling XEN Technique: An Innovation in the Surgical Implantation Technique of the XEN Gel Stent Device
Author(s): Fabrizio Franco, Federica Serino* and Fabrizio Giansanti
The aim of this paper is to describe a modified technique of ab-interno implantation of the XEN gel stent. At the beginning
of the surgery, the injection of 0.1 mL of air, and then of 0.1 mL of Balanced Salt Solution (BSS) in the subconjunctival
space allows you to obtain a mechanical dissection between the conjunctiva and the Tenon’s capsule, transforming a virtual
space in a real one. 23 eyes of 22 patients underwent the implantation of a XEN stent gel through the sparkling XEN
technique. We retrospectively analyze the results with a reduction of the Intraocular Pressure (IOP) from an average of 16.9
± 4.6 mmHg preoperatively to at 13.3 ± 1.4 mmHg at month 12. Needling was performed only in one case (4.34%). Two
patients had hypotony (IOP<6 mmHg) at post-operative day 1, which self-solved, but we didn’t register any case of hypotony
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DOI:
10.35248/2155-9570.23.14.945