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ExPRESS P200 implantation in patients with advanced glaucoma after ineffective glaucoma surgery

Poster Details

First Author: T.Galecki POLAND

Co Author(s):    A. Kaminska   M. Lazicka-Galecka   M. Slominska   J. Szaflik     

Abstract Details



Purpose:

To assess safety and efficacy of draining micro-implant ExPress P200 implanted in patients with advanced glaucoma after ineffective glaucoma operations

Setting:

Department of Ophthalmology Medical University of Warsaw, Poland

Methods:

Retrospective analysis of 4 patients (4 eyes) with draining micro-implant ExPress . Follow-up was - 12 months. Intraocular pressure was analyzed on 1st post-operative day, then one month, 12 months post-operatively.

Results:

One year post-operatively in analyzed cases intraocular pressure revealed a decrease of one months after surgery 75,58% (mean decrease 32mmHg; mean value: 10,5 mmHg), and one year post-operatively 72.1% (mean decrease 31 mmHg; mean value: 12 mmHg), in comparison to pre-operative values. A reduction of taken anti-glaucoma agents was observed in 77% of patients. The following post-operative complications were noted: transient hypotony (1/4; 25%) with shallowing of anterior chamber and transient choroidal detachment(1/4; 25%). There were no other complications

Conclusions:

The implantation of ExPress P200 to the anterior chamber is a microinvasive, safe and effective method of treatment in a group of patients after ineffective anti-glaucoma surgery. It gives a satisfactory decrease of intraocular pressure and reduction in number of anti-glaucoma drugs taken. This is a method to be considered in patients when previous glaucoma surgery was not effective. The result of surgery mostly depends on the degree of glaucomatous injury, and post-operative complications are still a problem that needs to be solved. FINANCIAL INTEREST: NONE

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