C Erb1, M Schargus2, K Klabe3, B Voykov4, A Jünemann5. 1. Augenklinik am Wittenbergplatz, Kleiststr. 23-26, 10787, Berlin, Deutschland. erb.glaukom@gmail.com. 2. Augenklinik, Asklepios Klinik Nord - Heidberg, Hamburg, Deutschland. 3. I. I. O., Internationale Innovative Ophthalmochirurgie, Düsseldorf, Deutschland. 4. Universitäts-Augenklinik, Tübingen, Deutschland. 5. Viselle Augenzentrum, Erlangen, Deutschland.
Abstract
BACKGROUND: When using subconjunctival/sub-Tenon's ab interno glaucoma surgical procedures, patient selection and preoperative management are essential to reduce postoperative scarring of the bleb. OBJECTIVE: The aim of this study was to compile a list of risk factors that may have an unfavorable effect on the scarring process. METHOD: A literature search was carried out in PubMed with respect to the scarring process of the gel implant XEN®. RESULTS: Ophthalmological risk factors for conjunctivoscleral/Tenon's wound healing process include dry eye, allergies, use of eye drops containing preservatives and previous eye surgery. CONCLUSION: The preoperative administration of artificial tear substitutes, corticosteroids and the fundamental change to preservative-free eye drops can support the normalization of a chronic inflammatory altered conjunctiva and thus positively influence the wound healing process after surgery.
BACKGROUND: When using subconjunctival/sub-Tenon's ab interno glaucoma surgical procedures, patient selection and preoperative management are essential to reduce postoperative scarring of the bleb. OBJECTIVE: The aim of this study was to compile a list of risk factors that may have an unfavorable effect on the scarring process. METHOD: A literature search was carried out in PubMed with respect to the scarring process of the gel implant XEN®. RESULTS: Ophthalmological risk factors for conjunctivoscleral/Tenon's wound healing process include dry eye, allergies, use of eye drops containing preservatives and previous eye surgery. CONCLUSION: The preoperative administration of artificial tear substitutes, corticosteroids and the fundamental change to preservative-free eye drops can support the normalization of a chronic inflammatory altered conjunctiva and thus positively influence the wound healing process after surgery.
Entities:
Keywords:
Ab interno; Glaucoma; MIGS; Stent; Wound healing
Authors: Markus Lenzhofer; Clemens Strohmaier; Philipp Sperl; Melchior Hohensinn; Wolfgang Hitzl; Veit Steiner; Sarah Moussa; Karolina Motloch; Björn Baca; Eva Krall; Herbert A Reitsamer Journal: Acta Ophthalmol Date: 2019-06-18 Impact factor: 3.761