Extrusion and Breakage of XEN Gel Stent Resulting in Endophthalmitis.

The mainstay of open-angle glaucoma surgery involves subconjunctival drainage of aqueous fluid. Insertion of the XEN Gel Stent leads to formation of a subconjunctival bleb to assist in the drainage of aqueous fluid and offers the advantage of ease and speed of insertion with conjunctival sparing over traditional surgical techniques. This is the first case of XEN Gel Stent-related endophthalmitis associated with extrusion and breakage of the stent, a previously undocumented complication of this relatively new surgery.

Transscleral cyclophotocoagulation in refractory acute and chronic angle closure glaucoma.

Angle closure glaucoma, both acute and chronic, is a major cause of blindness worldwide. Transscleral cyclophotocoagulation (TSCP) is conventionally undertaken non-urgently in patients with advanced glaucoma and poor visual potential with poor control of intraocular pressure (IOP). We describe a case of a patient with refractory acute angle closure glaucoma and severe pain in whom emergency TSCP was undertaken 12 h after presentation, reducing the IOP from 68 to 10 mm Hg.

Concomitant primary breast carcinoma and primary choroidal melanoma: a case report.

Introduction: Choroidal melanoma and choroidal metastasis are distinct pathological entities with very different treatments and prognoses. They may be difficult to distinguish to the untrained observer.

Case Presentation: A case of concomitant choroidal melanoma in a woman with primary breast carcinoma is described.

Severe cough: a cause of late bleb leak.

Purpose: To highlight coughing as a potential cause for late postoperative trabeculectomy bleb leaks.

Methods: A retrospective study of 2 patients in whom late bleb leaks developed after a bout of severe coughing. Perioperative 5-fluorouracil was used at the time of the initial filtration procedure for one of the patients, while the second patient had had an ordinary trabeculectomy.