54 The rate of qualified success (defined as IOP of 6–17 mmHg and ≥20% IOP reduction from baseline with IOP-lowering medications or laser trabeculoplasty) was also improved with 63-μm gel stent, but the difference did not reach statistical significance. 54 As might be expected, our study revealed more adverse events with the 63-μm gel stent than the 45-μm gel stent, and the rate of early hypotony-related complications such as choroidals/choroidal folds and shallow anterior chamber was ~5 times greater with the 63-μm gel stent than the 45-μm gel stent. 54 Although most adverse events and early complications were transient, caution is advised in patients at higher risk for such events, including older patients and those with myopia.
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Update on Surgical Techniques Best Practices to Optimize Outcomes Following Gel Stent Implantation.
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