PURPOSE: To report post-operative course and complications in patients who underwent Ex-Press glaucoma shunt placement. DESIGN: Small case series. METHODS: Four patients were referred for management following Ex-Press shunt implantation. Patients underwent complete ophthalmologic evaluation and were appropriately managed. RESULTS: Of the four patients, two had inadequate control of intraocular pressure related to bleb failure caused by subconjunctival scar tissue formation. One patient experienced suprachoroidal hemorrhage 5 days after shunt placement followed a year later with conjunctival erosion and shunt rim exposure. Endophthalmitis from conjunctival erosion over the Ex-Press shunt rim was observed in one patient. CONCLUSION: Patients with subconjunctival implantation of the Ex-Press shunt should be monitored closely for possible conjunctival erosion that can lead to endophthalmitis and failure from fibrosis.
PURPOSE: To report post-operative course and complications in patients who underwent Ex-Press glaucoma shunt placement. DESIGN: Small case series. METHODS: Four patients were referred for management following Ex-Press shunt implantation. Patients underwent complete ophthalmologic evaluation and were appropriately managed. RESULTS: Of the four patients, two had inadequate control of intraocular pressure related to bleb failure caused by subconjunctival scar tissue formation. One patient experienced suprachoroidal hemorrhage 5 days after shunt placement followed a year later with conjunctival erosion and shunt rim exposure. Endophthalmitis from conjunctival erosion over the Ex-Press shunt rim was observed in one patient. CONCLUSION:Patients with subconjunctival implantation of the Ex-Press shunt should be monitored closely for possible conjunctival erosion that can lead to endophthalmitis and failure from fibrosis.
Authors: Valentín Huerva; Jordi Soldevila; Francisco J Ascaso; Laura Lavilla; M Jesús Muniesa; M Carmen Sánchez Journal: Int J Ophthalmol Date: 2016-04-18 Impact factor: 1.779
Authors: Yasmin F K Islam; Elizabeth A Vanner; Syed G Khurshid; Harry W Flynn; David S Greenfield Journal: J Glaucoma Date: 2022-06-02 Impact factor: 2.290