Zehavi-Dorin Tzukit, Heinecke Evan, Nadkarni Shivram, Green Catherine, Chen Christine, Kong Yu Xiang George
Royal Victorian Eye and Ear Hospital, Melbourne, Victoria, Australia.
Monash Medical Centre, Clayton, Victoria, Australia.
Am J Ophthalmol Case Rep. 2019 Jul 11;15:100510. doi: 10.1016/j.ajoc.2019.100510. eCollection 2019 Sep.
To report here a case of uncontrolled glaucoma during third-trimester of pregnancy that was treated successfully with bilateral Xen gel stent insertion.
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.
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.
本文报告一例妊娠晚期未控制的青光眼患者，通过双侧植入Xen凝胶支架成功治疗。
一名35岁女性在妊娠晚期出现双侧未控制的原发性开角型青光眼。她的视盘检查和视野与晚期青光眼一致。在选择性激光小梁成形术失败以及包括乙酰唑胺在内的最大药物治疗无效后，她接受了双侧连续Xen支架手术，眼压得到成功控制。
Xen植入物的使用可能比传统小梁切除术具有优势，尤其是在妊娠期间，因为该手术时间更短，对术中抗代谢药物的依赖更少，且微创并保留结膜。
