title: Managing Drawbacks in Unconventional Successful Glaucoma Surgery: A Case Report of Stent Exposure.
abstract: Traditional options in managing failed trabeculectomy (bleb needling, revision, additional incisional surgery and tube surgery) have a relatively high failure and complication rate. The use of microinvasive glaucoma surgery (MIGS) has generally been reserved to mild to moderate glaucoma cases, proving good safety profiles but significant limitations in terms of efficacy. We describe a patient who underwent MIGS (XEN Aquesys subconjunctival shunt implantation) after a prior failed trabeculectomy. After the surgery, the IOP was well controlled but as the stent was close to an area of scarred conjunctiva of the previous trabeculectomy, it became partially exposed. As a complete success was achieved, we decided to remove the conjunctiva over the exposed area and replace it by an amniotic membrane transplantation and a conjunctiva autograft. Six months after surgery, the unmedicated IOP is still well controlled with complete visual acuity recovery.
authors: Dipartimento di Scienze Chirurgiche, Clinica Oculistica dell'Università, Via Juvarra 19, 10122 Torino, Italy.
authors: Antonio
authors: A
authors: Fea
authors: Dipartimento di Scienze Chirurgiche, Clinica Oculistica dell'Università, Via Juvarra 19, 10122 Torino, Italy.
authors: Paola Maria Loredana
authors: PM
authors: Cannizzo
authors: Dipartimento di Scienze Chirurgiche, Clinica Oculistica dell'Università, Via Juvarra 19, 10122 Torino, Italy.
authors: Giulia
authors: G
authors: Consolandi
authors: Dipartimento di Scienze Chirurgiche, Clinica Oculistica dell'Università, Via Juvarra 19, 10122 Torino, Italy.
authors: Carlo Alessandro
authors: CA
authors: Lavia
authors: Dipartimento di Scienze Chirurgiche, Clinica Oculistica dell'Università, Via Juvarra 19, 10122 Torino, Italy.
authors: Giulia
authors: G
authors: Pignata
authors: Dipartimento di Scienze Chirurgiche, Clinica Oculistica dell'Università, Via Juvarra 19, 10122 Torino, Italy.
authors: Federico M
authors: FM
authors: Grignolo