Implantation of XEN‑45 for Treatment of Refractory Secondary Glaucoma - Takeaways - MDSpire

Implantation of XEN‑45 for Treatment of Refractory Secondary Glaucoma

  • By

  • Kun Lv

  • Zhiqiao Liang

  • Kuankuan Wu

  • Yao Ma

  • Kangyi Yang

  • Wenbo Liu

  • Huijuan Wu

  • November 14, 2025

  • 0 min

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  • 1

    Secondary glaucoma (SG) arises from various causes leading to elevated intraocular pressure and can progress to glaucomatous optic neuropathy if untreated.

  • 2

    XEN-45 Gel Stent is a minimally invasive option for lowering intraocular pressure in refractory secondary glaucoma, approved by the FDA in 2016.

  • 3

    The study evaluates XEN-45 gel stent implantation in a diverse range of refractory SG cases, including uveitic and steroid-induced glaucoma.

  • 4

    Patients eligible for the study had uncontrolled IOP or required multiple anti-glaucoma medications, with at least 6 months of follow-up.

  • 5

    Surgical techniques for XEN-45 implantation included ab externo methods, chosen based on conjunctival conditions rather than glaucoma severity.

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