Evidence map›Paper›PMID 37629380›Full record

ReviewJournal of clinical medicine2023

Effectiveness and Safety of Xen Gel Stent in Glaucoma Surgery: A Systematic Review of the Literature.

Carlo Enrico Traverso, Roberto G Carassa, Antonio Maria Fea, Michele Figus, Carlo Astarita, Benedetta Piergentili, Vanessa Vera, Stefano Gandolfi

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
6.1field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 22 citations in OpenAlex.

  1. Two-years efficacy and safety of bleb forming devices in uncontrolled glaucoma.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
  2. Functional assessment of the XENGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
  3. Outcomes of Ab Interno 63 µm vs. 45 µm XENJournal of clinical medicine · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Reducing Postoperative Needling in XEN63Journal of clinical medicine · 2025
    Article
  8. Efficacy and Safety of Ab Externo Open Conjunctiva XENJournal of clinical medicine · 2025
    Article
  9. Observational
  10. Article
  11. Article
  12. The effect of axial length on the short-term outcomes of cataract surgery combined with ab interno trabeculotomy.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2024
    Article
  13. Update on Diagnosis and Treatment of Uveitic Glaucoma.Journal of clinical medicine · 2024
    Review
  14. A new self-adjustable glaucoma valve.Frontiers in bioengineering and biotechnology · 2024
    Article
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 2 countries.

Carlo Enrico TraversoEye Clinic, IRCCS San Martino Polyclinic Hospital, 16132 Genoa, Italy.
Roberto G CarassaCentro Italiano Glaucoma, 20124 Milan, Italy.
Antonio Maria FeaDepartment of Surgical Sciences, University of Turin, 10122 Turin, Italy.
Michele FigusDepartment of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, 56126 Pisa, Italy.ORCID 0000-0003-2243-9033
Carlo AstaritaAbbVie S.r.l., 04011 Campoverde, LT, Italy.
Benedetta PiergentiliAbbVie S.r.l., 04011 Campoverde, LT, Italy.
Vanessa VeraAbbVie Inc., North Chicago, IL 60064, USA.ORCID 0000-0003-2294-0055
Stefano GandolfiDepartment of Medicine and Surgery, University of Parma, 43121 Parma, Italy.
AbbVie (United States) · USOspedale Policlinico San Martino · ITUniversity of Parma · ITUniversity of Pisa · ITUniversity of Turin · IT

Funding

abbvie srl This manuscript was funded by AbbVie S.r.l. AbbVie participated in writing, reviewing, and approving the publication. No honoraria or payments were made for authorship.
6 · The paper itself

Abstract

Although topical medical therapy and selective-laser-trabeculoplasty represent the treatments of choice to reduce intraocular pressure, many patients do not achieve adequate glaucoma control; therefore, they require further options and eventually surgery. Trabeculectomy is still considered the gold standard, but the surgical management of glaucoma has undergone continuous advances in recent years, XEN-gel-stent has been introduced as a safer and less traumatic means of lowering intraocular pressure (IOP) in patients with open-angle glaucoma (OAG). This study aimed to review the effectiveness and safety of clinical data on XEN-stent in OAG patients with a Synthesis-Without-Meta-analysis (SWiM) methodology. A total of 339 studies were identified following a literature search adhering to PRISMA guidelines and, after evaluation, 96 studies are discussed. XEN63 and XEN45 device data were collected both short and long term. In addition, this document has evaluated different aspects related to the XEN implant, including: its role compared to trabeculectomy; the impact of mitomycin-C dose on clinical outcomes; postoperative management of the device; and the identification of potential factors that might predict its clinical outcomes. Finally, current challenges and future perspectives of XEN stent, such as its use in fragile or high myopia patients, were discussed.

Indexed as

glaucomamicroinvasive filtering-surgerytrabeculectomyXEN

Identifiers

PMID37629380
PMCPMC10455777
OpenAlexW4385878431

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.