Usefulness of the amniotic membrane graft in the management of xen® implant exposure

Abstract

We report a case of a 79-year-old woman with severe glaucoma and absence of therapeutic adherence, who undergone cataract surgery and XEN® implant in her left eye. Two weeks after the intervention, conjunctival erosion was observed with exposure of the distal end of the implant, so a surgical repair was performed by combining an appositional suture of the tube, adapting its trajectory to the scleral curvature, and an amniotic membrane graft. After 6 months of follow-up, the intraocular pressure is controlled, without additional treatment needed, and no disease progression.

Keywords: Amniotic membrane; Glaucoma; Membrana amniótica; Microcirugía; Microsurgery; XEN® gel stent.