Bilateral consecutive Xen gel stent surgery during pregnancy for uncontrolled early-onset primary open angle glaucoma

Tzukit Zehavi-Dorin; Evan Heinecke; Shivram Nadkarni; Catherine Green; Christine Chen; Yu Xiang George Kong

doi:10.1016/j.ajoc.2019.100510

Bilateral consecutive Xen gel stent surgery during pregnancy for uncontrolled early-onset primary open angle glaucoma

Am J Ophthalmol Case Rep. 2019 Jul 11:15:100510. doi: 10.1016/j.ajoc.2019.100510. eCollection 2019 Sep.

Authors

Tzukit Zehavi-Dorin¹, Evan Heinecke^{1

2}, Shivram Nadkarni², Catherine Green¹, Christine Chen^{2

3}, Yu Xiang George Kong^{1

2

4}

Affiliations

¹ Royal Victorian Eye and Ear Hospital, Melbourne, Victoria, Australia.
² Monash Medical Centre, Clayton, Victoria, Australia.
³ School of Medicine, Monash University, Clayton, Victoria, Australia.
⁴ Centre for Eye Research Australia, East Melbourne, Victoria, Australia.

Abstract

Purpose: To report here a case of uncontrolled glaucoma during third-trimester of pregnancy that was treated successfully with bilateral Xen gel stent insertion.

Observations: A 35-year-old woman presented during the third trimester of pregnancy with bilateral uncontrolled primary open angle glaucoma. Her disc examination and visual fields were consistent with advanced glaucoma. After failed Selective Laser Trabeculoplasty and maximal medical treatment, including Acetazolamide, she was treated with bilateral consecutive Xen stent surgery with successful control of her intraocular pressure.

Conclusions and importance: The use of Xen implant may have advantages over traditional trabeculectomy, especially during pregnancy, as the procedure is shorter, with less dependence on on-table antimetabolite and being minimally invasive with sparing of the conjunctiva.

Keywords: Glaucoma in pregnancy; Xen gel stent.

Publication types

Case Reports