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ExPRESS mini shunt implant: the efficacy and complications in open-angle glaucoma surgical treatment

Poster Details

First Author: H.Khaled SAUDI ARABIA

Co Author(s):                        

Abstract Details

Purpose:

To evaluate the efficacy and complications of ExPRESS mini shunt implant for the surgical treatment of open angle glaucoma.

Setting:

Magrabi Eye & Ear Hospital, Jeddah, Saudi Arabia

Methods:

Retrospective, chart review of 23 patient (32eyes) underwent ExPRESS Mini Shunt glaucoma procedure for treatment of open angle glaucoma, between January 2014 – January 2015. The study included patients with glaucoma underwent Ex-Press mini shunt surgery alone or combined with cataract extraction by phacoemulsification. Intraocular pressure (IOP), glaucoma medications and complications were recorded preoperatively and postoperatively 1 day, 1 week, 1 month, 3 months and 6 months. Complete success was defined as: IOP <18 without any glaucoma medication and qualified success was defined as: IOP <18 with glaucoma medication. Ocular massage and suturlysis were considered as normal follow up management.

Results:

Total success was noted in 26 eyes (81%), with complete success in 23eyes (88%) and qualified success in 3 eyes (12%) at 6 months after the surgery. The Noticed complications were shallow anterior chamber in 2 eyes (6%) with hypotony.

Conclusions:

I propose that Ex-Press glaucoma filtration device is a very good, alternative option, with too much less complications than standard trabeculectomy for open angle glaucoma patients.

Financial Disclosure:

None

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