Channels: Glaucoma | Posted 8/24/2015
Prof. Dr. H. Burkhard Dick presents an ab-interno approach to the subconjunctival space using the XEN Gel Stent in combination with glaucoma approved laser-assisted cataract surgery. The XEN Gel Stent is made of a permanent, soft, collagen-derived, gelatin. Upon implantation after performing a laser-assisted cataract surgery using the Catalys Precision Laser System (Abbott Medical Optics, Santa Ana, USA), it creates a diffuse outflow of aqueous from the anterior chamber into the non-dissected tissue of the subconjunctival space. A well-known gelatin was chosen because it is well accepted by the human body, and is non-inflammatory. The pliability and softness allows it to conform to the ocular tissue which may be shown to minimize many of the issues seen with synthetic materials (e.g. migration, erosion, corneal endothelial damage).
The XEN Gel Stent (about the width of a human hair) is injected through a small self-sealing corneal incision using a simple, preloaded IOL-like injector. The AqueSys procedure is straightforward, and can be done as a primary procedure or in conjunction with cataract surgery as demonstrated in this video. It is minimally invasive and highly effective in all stages of glaucoma.
AqueSys • CATALYS Precision Laser System • Femtosecond Laser Refractive Cataract Surgery • Glaucoma • Microinvasive Glaucoma Surgery (MIGS) • Xen45