Xen gel stent Glaucoma Surgery – Ideal Subconjunctival Placement by Ike Ahmed

We have found placing the Xen, an ab-interno subconjunctival MIGS procedure, as supra-Tenon’s or subconjunctival as possible results in further IOP-lowering. This video demonstrates pearls to achieve this placement – which involves tilting up of the needle as it exits sclera to ensure penetration through Tenon’s and remaining as deep in the conjunctiva as possible.