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Clinical Experience with Ex-Press Mini Glaucoma Shunt Implantation

Morena Gavrić
Nikica Gabrić
Ana Čović


Puni tekst: engleski pdf 63 Kb

str. 39-41

preuzimanja: 461

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Sažetak

In this prospective study we wanted to report our experience and to evaluate the effiacacy and safety of Ex-press
Mini-Glaucoma Shunt implantation under a superficial scleral flap, as a newly and improved surgical technology in a
treatment of POAG(Primary open-angle glaucoma) and refractory glaucoma. 44 eyes (35 patients) underwent an implantation
of Ex-Press Mini Glaucoma Shunt. We had 21 patiens with POAG (60%) and 14 patients with PEXG-pseudoexfoliation
glaucoma (40%). The follow-up period was 8.62+7.48 months (range 2–22 months). Main outcome measures
included postoperative IOP control, postoperative medications and early postoperative complications. The IOP was measured
in the following postoperative time-points of 1 day, 1 week, 1, 3, 6, 9 and 12 months. The mean IOP values 1 year
postoperatively were reduced for 52.8% compared to preoperative values and the use of medications were reduced for
77%. We had complications like postoperative hypotony (3.5%), choroidal ablation (7%), intraocular hemorrhage (3.5%)
and postoperative shunt closure (3.5%). The Ex PRESSMini Glaucoma Shunt implanted under a superficial scleral flap
is relatively safe and effective surgical procedure and provides satisfactory IOP control and medication reduction. However,
device related complications remain still a problem.
Abbreviations: POAG – Primary open-angle glaucoma, PEXG – Pseudoexfoliation glaucoma, IOP – Intraocular
pressure

Ključne riječi

Ex-Press Mini Glaucoma Shunt; glaucoma

Hrčak ID:

72221

URI

https://hrcak.srce.hr/72221

Datum izdavanja:

25.9.2011.

Posjeta: 980 *