Acute Necrotizing Retinopathy After Xen Gel Stent Implantation. Issue 5 (30th May 2023)

• Record Type: Journal Article
• Authors: Lo, Wen-Jung; Kuang, Tung-Mei; Chen, Shih-Jen; Hwang, De-Kuang
• Is Part Of: Journal of glaucoma. Volume 32:Issue 5(2023)
• Page Start: e38
• Page End: e40
• Publication Date: 2023-05-30
• Subjects: minimally invasive glaucoma surgery -- mitomycin-C -- necrosis -- occlusive vasculitis -- Xen gel stent; Glaucoma -- Periodicals; 617.741005
• DOI: 10.1097/IJG.0000000000002219
• Languages: English
• ISSNs: 1057-0829

Abstract

Abstract : Précis: We report a case of a 45-year-old woman who developed serous retinal detachment, hypotony, and retinal necrosis after Xen gel stent implantation. Abstract: A 45-year-old woman developed sudden blurring of vision 4 days after Xen gel stent replacement surgery. Persistent hypotony, uveitis, and serious retinal detachment rapidly progressed despite medical and surgical treatments. Retinal necrosis, optic atrophy, and total blindness developed within 2 months. Although infectious and autoimmune-related uveitis were ruled out through negative culture and blood test results, acute postoperative infectious endophthalmitis could not be completely excluded in this case. However, toxic retinopathy related to mitomycin- C was suspected eventually.