Posters

The ExPRESS glaucoma shunt in open-angle glaucoma in complicated cases: 3 years results

Poster Details

First Author: L.Batalina RUSSIA

Co Author(s):    K. Pershin              

Abstract Details

Purpose:

To evaluate the clinical outcomes of the ex-PRESS mini-device placed under a partial-thickness scleral flap in patients with high IOP after previous trabeculectomy, non-penetrating glaucoma surgery and after complicated cataract surgery.

Setting:

Excimer Eye Clinic, Moscow, Russia

Methods:

Procedures for Ex-PRESS implantations were performed under scleral flap in 45 patients 30-74 y.o. All patients were presented with medically uncontrolled POAG with prior cataract operation or failed filtration surgery.

Results:

At the last follow-up, mean IOP values decreased significantly from their preoperative levels: from 35 (±12) mmHg to 15 (±5) mmHg. All patients consumed significantly fewer anti-glaucoma medications postoperatively than before the procedure. Early in postoperative course hypotony <5 mmHg was observed just in 8% of patients. In 2 cases the choroidal detachment was observed.

Conclusions:

The Ex-PRESS device implantation under scleral flap is an effective procedure in complicated cases of open-angle glaucoma, provides good IOP control, low rate of complications, needed less glaucoma medication and fewer postoperative interventions. FINANCIAL INTEREST: NONE