The XEN Gel Stent lowers intraocular pressure by shunting aqueous humor to the subconjunctival space.

Published studies include both open conjunctiva and closed conjunctiva approaches to implantation.

While the popularity of micro-invasive glaucoma surgery has favored the adaption of a closed conjunctiva approach, some surgeons have found great benefit in an open conjunctiva approach.

This paper provides details on surgical steps of an open conjunctiva implantation of the gel stent and tips for enhancing outcomes.