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Fig. 4 | Eye and Vision

Fig. 4

From: In vivo confocal microscopy: qualitative investigation of the conjunctival and corneal surface in open angle glaucomatous patients undergoing the XEN-Gel implant, trabeculectomy or medical therapy

Fig. 4

Combined Xen 45 Gel Stent plus Phacoemulsification: a & b show the corneo-conjunctival junction with rare blebs, preserved goblet cells and intra-cystic bright micro-particles maybe of pigment or inflammatory origin. c & d show the Xen 45 Gel stent (black arrows) positioned in the sub-tenonian space containing bright micro-particles of potential pigment origin, surrounded by hyper-reflective tissue and blood vessels (black asterisks). e & f show the presence of Langerhans cells (black triangles). A peri-neural corneal inflammation was observed in all patients where the Xen 45 Gel Stent was combined with cataract surgery compared with Xen 45 Gel Stent alone. The sub-epithelial nerve fibers appeared hyper-reflective assuming a bead-like shape

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