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Case Report
Peer-Review Record

Management of XEN Gel Stent Exposure with Conjunctival Erosion via Rotational Conjunctival Flap and Amniotic Membrane Transplantation—A Case Report

Medicina 2022, 58(11), 1581; https://doi.org/10.3390/medicina58111581
by Chang Kyu Lee 1, Je Hyun Seo 2 and Su-Ho Lim 3,*
Reviewer 1:
Reviewer 2:
Medicina 2022, 58(11), 1581; https://doi.org/10.3390/medicina58111581
Submission received: 5 October 2022 / Revised: 30 October 2022 / Accepted: 31 October 2022 / Published: 2 November 2022
(This article belongs to the Special Issue Evolving Concepts in Clinical Ophthalmology)

Round 1

Reviewer 1 Report

This is well written case presentation of xen gel implant exposure  solving. Literature related to this problem is still very scarce, so this work will be of importance to glaucomatologists.

The only complaint I have is that I personally would like to read in detail the use of auto serum in this case.

PAGE 4 LINE 111 – auto-serum - please describe in detail

Author Response

Please see the attachment

Author Response File: Author Response.pdf

Reviewer 2 Report

The study presents a case of conjunctival erosion following implantation of Xen device.

Line 64 et seq. reports that the patient is on maximal topical therapy for glaucoma. It is not specified how long this therapy has been in place.

This maximal therapy often causes qualitative changes in the conjunctiva and may result in thinning of the conjunctiva. In the discussion (line 159 et seq.), this clinical situation is not considered among the possible contributing factors in causing conjunctival erosion.

 

The patient is on maximal therapy for advanced glaucoma, however, after amniotic membrane transplantation surgery, the visual field situation is not shown

 

 

Author Response

Please see the attachment

Author Response File: Author Response.pdf

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