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ExPress P200: a new implant for decreasing intraocular pressure in advanced glaucoma after previous failed surgery

Poster Details

First Author: J.Szaflik POLAND

Co Author(s):    A. Kaminska   M. Lazicka Galecka   T. Galecki   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 17 patients (19 eyes) with draining micro-implant ExPress . Follow-up was –12 months. Intraocular pressure was analyzed on 1st post-operative day, 7days post-op, then one month, 3,6,9 12 months post-operatively.

Results:

One year post-operatively in analyzed cases intraocular pressure revealed a decrease in first postoperative day 72,9%, one months after surgery 45 ,97%, and one year post-operatively 48,3% , in comparison to pre-operative values. A reduction of taken anti-glaucoma agents was observed in 47,36% of patients after one year after surgery. The following post-operative complications were noted: transient hypotony with shallowing of anterior chamber and transient choroidal detachment. 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 Disclosure:

NONE

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