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Presentation preference	Poster presentation
Title	Post Xen stent infective scleritis- the not so Xen experience

Purpose	To describe a case of delayed-onset infective scleritis after Xen45 stent insertion.
Methods	Case Report
Results	A 68-year-old immunosuppressed female was referred with scleritis 19 months after left eye Xen45 gel stent insertion combined with mitomycin-C 0.04% and cataract surgery. She had 180 degrees of scleral necrosis and structural hypotony. Empirical antibiotics were initiated, and conjunctival swab grew mixed staphylococci. Despite clinical improvement the stent became exposed leading to worsening hypotony. Urgent surgery was performed to remove the stent and apply a tutoplast plug with overlying amniotic membrane. Her condition remained stable after 6 months with visual acuity of 6/12 and IOP 24 mmHg.
Conclusion	To our knowledge, this is the first reported case of scleritis following Xen45 insertion. It is a reminder that infection should always be considered in patients with surgically-induced necrotising scleritis and care should be taken with surgical choice in patients who are systemically immunosuppressed.
Conflict of interest	No

Authors 1

Last name	KINGSTON
Initials of first name(s)	EJ
Department	Ophthalmology- Sydney Eye Hospital
City	Sydney
Country	Australia

Authors 2

Last name	McCluskey
Initials of first name(s)	P
Department	Ophthalmology- Sydney Eye Hospital
City	Sydney
Country	Australia

Authors 3

Last name	Zagora
Initials of first name(s)	S
Department	Ophthalmology- Sydney Eye Hospital
City	Sydney
Country	Australia

Authors 4

Last name	Raman
Initials of first name(s)	P
Department	Ophthalmology- Sydney Eye Hospital
City	Sydney
Country	Australia

Authors 5

Last name	Symes
Initials of first name(s)	R
Department	Ophthalmology- Sydney Eye Hospital
City	Sydney
Country	Australia

Authors 6

Last name	Lusthaus
Initials of first name(s)	JA
Department	Ophthalmology- Sydney Eye Hospital
City	Sydney
Country	Australia