Results of the use of the Ex-PRESS miniature glaucoma implant in technically challenging, advanced glaucoma cases: a clinical pilot study.
Am J Ophthalmol
; 138(6): 1049-51, 2004 Dec.
Article
em En
| MEDLINE
| ID: mdl-15629303
ABSTRACT
PURPOSE:
To report results of implantation of the Ex-PRESS Miniature Glaucoma Implant (Optonol, Neve Ilan, Israel) shunt directly under the conjunctiva in advanced glaucoma.DESIGN:
Noncomparative case series.METHODS:
Chart review of eleven cases of Ex-PRESS implantation. Outcome measures included intraocular pressure (IOP), complications, visual acuity, and additional interventions. Failure was defined as unacceptably high IOP requiring revision or explantation.RESULTS:
Four patients (36%) failed. Ten (91%) experienced hypotony during postoperative week one. In the seven nonfailures, mean pre and postoperative IOPs were 30.3 +/- 9.3 mm Hg and 13.6 +/- 4.4 mm Hg, respectively (P = .006). The logMAR visual acuity did not change significantly from baseline to follow up (logMAR 1.1 +/- 0.9 and 1.4 +/- 0.9, respectively, P = .13). There were no intraoperative complications. Postoperative complications in the 11 eyes included choroidal detachment in 3 (27%) and suprachoroidal hemorrhage in 2 (18%). Of the 7 successful cases, additional interventions were required in 4 (57%).CONCLUSIONS:
Despite significant IOP reduction, the incidence of complications following Ex-PRESS implantation directly under the conjunctiva was unacceptably high in this group of patients.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Glaucoma
/
Túnica Conjuntiva
/
Implantação de Prótese
/
Implantes para Drenagem de Glaucoma
Limite:
Humans
Idioma:
En
Revista:
Am J Ophthalmol
Ano de publicação:
2004
Tipo de documento:
Article
País de afiliação:
Estados Unidos