In this narrated surgical demonstration, Dr. Ike Ahmed described how he has found placing the Xen, an ab-interno subconjunctival MIGS procedure, as supra-Tenon's or subconjunctival as possible results in further IOP-lowering. This video demonstrates pearls to achieve this placement -- which involves tilting up of the needle as it exits sclera to ensure to get it thru Tenon's and as under conjunctiva as possible.

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