London 2014 Registration Visa Letters Programme Satellite Meetings Glaucoma Day 2014 Exhibition Hotel Booking Virtual Exhibition Star Alliance
london escrs

Course handouts are now available
Click here


Come to London

video-icon

WATCH to find out why


Site updates:

Programme Updates. Programme Overview and - Video Symposium on Challenging Cases now available.


Posters

Search Abstracts by author or title
(results will display both Free Papers & Poster)

ExPRESS glaucoma filtration device implantation in a case of microcornea

Poster Details

First Author: T.Komar HUNGARY

Co Author(s):    Á. Vadnay   P. Vámosi           

Abstract Details



Purpose:

EX-PRESS Glaucoma Filtration Device is an alternative to trabeculectomy for glaucoma managment. We report an EX-PRESS device implantation in a case of microcornea.

Setting:

Department of Ophthalmology, Péterfy Sándor Street Hospital and Outpatient Department and National Traumatogy Institute Budapest, Hungary.

Methods:

54- year- old microcorneal caucasian female patient came to our outpatient department suffering from Primary Open Angle Glaucoma (POAG) on her both eyes. Despite the triple combination of antiglaucoma therapy (brimonidine+timolol+bimatoprost) her intraocular pressure was subcompensated on her eyes. Earlierly trabeculectomy was performed on her left eye with poor vision (BCVA: 20/1000), which lost it's good function after the initial 6 weeks, because of scarring of the filtration bleb. Therefore, on the right eye with good vision (BCVA 20/25) we decided to implant a 200 μm inner diameter EX-PRESS device.

Results:

The surgery was performed without any complication doing maximal efforts on positioning the device. In the postoperative 1 month period the patient was administered with tobramycin + dexamethasone therapy. The intraocular pressure in the right eye is compensated for the last 10 months without any antiglaucoma therapy. Postoperative BCVA was 20/20 on the right eye. No postoperative complications were found following implantation of the device.

Conclusions:

Patients suffering from uncompensated POAG combined with microcornea an EX-PRESS device implantation might solve the problem, however careful preoperative examination of the anterior segment is needed. FINANCIAL INTEREST: NONE

Back to Poster listing