XEN Implant-Related Endophthalmitis

A 71-year-old woman presented with pain and hand movements vision in her left eye, following a failed XEN45 implant (Allergan, Dublin, Ireland) 11 months previously. She had a 1-mm hypopyon (Fig 1A) and an exposed XEN45 implant (Fig 1B, arrow) that stained with fluorescein (Fig 1C, arrow). She improved with intravitreal and topical antibiotics. Erosion of XEN implants through the conjunctiva can lead to severe infections such as endophthalmitis. Patients with flat blebs may have a higher risk due to direct contact of the implant and the overlying conjunctiva causing erosion, as in our case.
Source: Ophthalmology - Category: Opthalmology Authors: Tags: Pictures & Perspectives Source Type: research