case_images: PMC10686706_01
case_images: (a) Superior express shunt (red arrow) with adjacent superior scarred conjunctiva. Inferonasal XEN stent (white triangle). (b) Inferonasal XEN stent (white triangle) with inferior elevated functional bleb.
case_images: CRIOPM2023-7096406.001.jpg
case_images: PMC10686706_01_CRIOPM2023-7096406.001.jpg
case_images: fig1
case_images: Micropulse CPC) (Figure 1(a)); however, his IOP when admitted to the ER was above target, despite maximal tolerated medical therapy (MTMT). Moreover, his visual fields were deteriorating; therefore, in consultation with the patient, it was decided to undergo XEN implantation in the left eye. Since the superior part the patient's conjunctiva was immobile and partially scarred, during the surgery, the XEN gel stent was placed inferiorly (Figure 1(b)), where the conjunctiva was healthy-looking and mobile.