Research progress on the application of XEN gel stent implantation in glaucoma treatment
10.3760/cma.j.cn115989-20220406-00140
- VernacularTitle:XEN凝胶引流管植入术在青光眼治疗中的应用研究进展
- Author:
Yinqi CHEN
1
;
Yihua YAO
;
Yihua ZHU
Author Information
1. 福建医科大学附属第一医院眼科 福建医科大学附属第一医院滨海院区国家区域医疗中心 福建省眼部疾病与视光学临床医学研究中心 福建省眼科研究所，福州 350005
- Keywords:
Glaucoma;
Glaucoma drainage implants;
Ophthalmologic surgical procedures;
Clinical progress
- From:
Chinese Journal of Experimental Ophthalmology
2024;42(6):547-556
- CountryChina
- Language:Chinese
-
Abstract:
XEN gel stent implantation, a novel minimally invasive glaucoma surgery (MIGS), constructs a novel subconjunctival external filtration pathway for aqueous humor outflow through a microfilter tube made of an innovative cross-linked material.The implant can be inserted via ab interno and ab externo approaches, each with its advantages and disadvantages.At present, XEN gel stent has demonstrated satisfactory efficacy and safety in both the short and long term in various types of glaucoma and combined phacoemulsification.Comparative studies with other filtering glaucoma surgeries have been conducted.Postoperative bleb-related complications are the most common ones, which are often treated by needling and open bleb revision.This procedure is a typical representative of MIGS, which offers the advantages of easy operation, less invasive, shorter operation time, valid intraocular pressure reduction, fewer complications and high safety, therefore significantly expanding the range of indications for MIGS and offering a favorable application prospect for clinical treatment of glaucoma.This article reviews the research progress of the material and characteristics, surgical techniques, indications and contraindications, clinical applications and complications of XEN gel stent.
