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Ab Externo Xen Gel Stent Implantation

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Oluwatosin U. Smith, MD

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Oluwatosin Smith, MD, sits down with Iqbal Ike K. Ahmed, MD, FRCSC, and Arsham Sheybani, MD, to discuss the evolution of Xen Gel Stent (AbbVie) usage over time and the cases in which she uses the MIGS device. She reviews the differences in her approach for adult and pediatric patient populations and comments on maximizing outcomes with an ab externo technique.

Posted: 4/04/2025

Keywords:

XEN

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Name: Ab Externo Xen Gel Stent Implantation
Uploaded: 2025-04-04T15:00:49+00:00
Description: Oluwatosin Smith, MD, sits down with Iqbal Ike K. Ahmed, MD, FRCSC, and Arsham Sheybani, MD, to discuss the evolution of Xen Gel Stent (AbbVie) usage over time and the cases in which she uses the MIGS device. She reviews the differences in her approach for adult and pediatric patient populations and comments on maximizing outcomes with an ab externo technique.

Interventional Valve-Enhancing Trabeculotomy

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Insights and Pearls for Preserflo

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Supraciliary MIGS With MINIject

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Implantation Pearls and Data Discussion for Hydrus Microstent

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Nishani Amerasinghe, MB, BS, BSc, FRCOphth

Viscodilation in the Canal

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Karl Mercieca, MRCOphth, FRCOphth, PGCM(Ed), FEBOS-GL

Streamlining Glaucoma Procedures

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Ariana Levin, MD

IOL Selection in Combination MIGS Procedures

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MIGS in Private Practice

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Reflections on the Reimbursement Landscape

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Nathan M. Radcliffe, MD

Micropulse Laser Therapy

Ike Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Larissa Camejo, MD

Experience With the TrabEx Pro

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Suprachoroidal MIGS

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Antonio Fea, MD, PhD

The Role of MIGS in Pediatric Glaucoma

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Zeynep Aktas, MD, FEBO

Genetics in Glaucoma

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Janey L. Wiggs, MD, PhD

SLT as First-Line Therapy

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Gus Gazzard, MA(Cantab), MD, MBBChir, FRCOphth

Management of Angle-Closure Glaucoma

Ike Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Clement CY Tham, BM BCh (Oxon), FCOphthHK, FHKAM (Ophth), FRCOphth, FRCS (Glas), FCSHK

MIGS in the Suprachoroidal Space

Ike Ahmed, MD, FRCSC; and Arsham Sheybani, MD

Goniotomy: Surgical Pearls and Considerations

Ike Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Matthew Brink, MD

Success With Intracameral Drug Delivery

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and I. Paul Singh, MD

Comparative Study of Endothelial Cell Loss

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Ticiana De Francesco, MD

Training in MIGS

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; Paul Chamberlain, MD; and Shawn Gulati, MD, MPH

MIGS Research and Outcomes

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Ticiana De Francesco, MD

MIGS in the Developing World

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Craig J. Chaya, MD

Viscodilation in the Canal

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Rachel G. Simpson, MD

Real-World MIGS Safety

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Sarah Van Tassel, MD

Part Two: Important Considerations From GPS Trial Data

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Sahar Bedrood, MD, PhD

Outcomes and Highlights of the GPS Trial

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Sahar Bedrood, MD, PhD

Canaloplasty and Viscodilation in MIGS

Iqbal Ike K. Ahmed, MD, FRCSC; and Arsham Sheybani, MD

The Panama Canaloplasty

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Joseph F. Panarelli, MD

The Role of MIGS in Angle Closure

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Manjool Shah, MD

Using MIGS to Expand Your Practice

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; Michael D. Greenwood, MD; and Lorraine M. Provencher, MD

How to Grow Your Practice With MIGS

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; Lorraine M. Provencher, MD; and Michael D. Greenwood, MD

Part Two: Matching the Best Glaucoma Procedure to Each Patient

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; Davinder S. Grover, MD, MPH; and Mark J. Gallardo, MD

Matching the Best Glaucoma Procedure to Each Patient

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; Davinder S. Grover, MD, MPH; and Mark J. Gallardo, MD

Traditional Glaucoma Surgery Meets MIGS

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Mary Qiu, MD

Sustained Drug Delivery: Expectations vs. Reality

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Nathan M. Radcliffe, MD

Successful Skills Transfer

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Bac T. Nguyen, MD

The Acceleration of Interventional Glaucoma

Iqbal Ike K. Ahmed, MD, FRCSC; and Arsham Sheybani, MD

At-Home Diagnostics

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Barbara Wirostko, MD

MIGS in Multiples

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The Case for Standalone MIGS

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Ahmed vs. Sheybani: Round 3

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Ahmed vs. Sheybani: Round 2

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Ahmed vs. Sheybani: Round 1

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MIGS Developments Anticipated in 2021

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A Newer Device on the MIGS Scene

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Matt Schlenker, MD

Clearing Hurdles in MIGS Care

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Oluwatosin Smith, MD

MIGS and Match: Combining Procedures for Optimal Effect

Arsham Sheybani, MD, I. Paul Singh, MD, Ike K. Ahmed MD

One Piece of a Complex Puzzle

Arsham Sheybani, MD, Iqbal (Ike) K. Ahmed, MD, Peter Chang, MD

Showcasing Two Surgical Techniques

Anna T. Do, MD, Arsham Sheybani, MD, Brian Francis, MD, Iqbal Ike K. Ahmed, MD, FRCSC

Insights Into a Canal-Based MIGS Procedure

Arsham Sheybani, MD, Iqbal Ike K. Ahmed, MD, FRCSC, Thomas Samuelson, MD

Advice on Performing Ab Interno Trabeculotomy and Viscodilation

Monisha Vora, MD

More Options in Glaucoma Drainage Devices

Arsham Sheybani, MD, Ian Conner, MD, Iqbal Ike K. Ahmed, MD, FRCSC, Leonard Seibold, MD

Separating the IOP-Lowering Effects of MIGS and Cataract Surgery

Arsham Sheybani, MD, Iqbal Ike K. Ahmed, MD, FRCSC, Jason Bacharach, MD

Educating the Next Generation of Surgeons

Arsham Sheybani, MD, Iqbal Ike K. Ahmed, MD, FRCSC, Kelly Muir, MD

Advice on Learning to Perform MIGS Procedures

Iqbal Ike K. Ahmed, MD, FRCSC, Jeb A. Ong, MD, Valentina Lozano, MD

Optimizing the Use of an Antifibrotic Agent

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Learning to Use a Second-Generation Trabecular Microbypass System

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Getting Started With Angle Surgery

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An Alternative Device for Patients With Moderate Glaucoma

Arsham Sheybani, MD, Iqbal Ike K. Ahmed, MD, FRCSC, Joseph F. Panarelli, MD

Fresh Insights Into Scaffolding Schlemm Canal

Arsham Sheybani, MD, Inder Paul Singh, MD, Iqbal Ike K. Ahmed, MD, FRCSC

Canal Surgery for Glaucoma

Arsham Sheybani, MD, Iqbal Ike K. Ahmed, MD, FRCSC, Steven R. Sarkisian, Jr., MD

The Angle's Importance in MIGS

Arsham Sheybani, MD, Ian Conner, MD, Iqbal Ike K. Ahmed, MD, FRCSC

The Roles of Advanced Imaging and Gonioscopy

Arsham Sheybani, MD, Iqbal Ike K. Ahmed, MD, FRCSC, Lauren S. Blieden, MD

Patient Selection for a Subconjunctival MIGS Device

Arsham Sheybani, MD, Iqbal Ike K. Ahmed, MD, FRCSC, Manjool Shah, MD

Choosing Among MIGS Procedures

Arsham Sheybani, MD, Iqbal Ike K. Ahmed, MD, FRCSC, Oluwatosin U. Smith, MD

Tips for Success With a Second-Generation MIGS Device

Arsham Sheybani, MD, Iqbal Ike K. Ahmed, MD, FRCSC, Sahar Bedrood, MD, PhD