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The relatively long-term results of ExPRESS shunt surgery

Poster Details

First Author: A.Avunduk TURKEY

Co Author(s):                        

Abstract Details

Purpose:

To investigate the effectiveness and safety of ExPRESS shunt surgery in different kind of our glaucoma patients.

Setting:

Retrospective chart review. The study has been conducted at Pamukkale University, School of Medicine, Department of Ophthalmology

Methods:

We performed ExPRESS glaucoma shunt (p 50) surgery on 62 eyes of 55 patients who have not been controlled with anti-glaucoma medications. All surgeries were done by single surgeon (AMA). Mean follow up time was 15,3 months (1,5-31 months). The pre-operative and post-operative intraocular pressures (IOP) were compared statistically. Complications (like hypotony) and anti-glaucoma medication usage were also noted. Surgical success was defined as IOP<18 mmHg without medication.

Results:

Forty eyes were diagnosed as having primary open angle glaucoma (POAG), 13 eyes had neovascular glaucoma, 3 eyes had secondary open angle glaucoma, 2 eyes had traumatic glaucoma 2 eyes had secondary angle closure glaucoma, and 2 eyes had juvenile glaucoma. Postoperatively, 6 eyes needed antiglaucoma medication for IOP control. Only two eyes developed post-operative hypotony with choroidal detachment, but both of them resolved spontaneously. Pre-operative mean IOP was 25,79 mm Hg and postoperative mean IOP was 15,79 mmHg (p< 0,001). The success rate of ExPRESS implant surgery for POAG patients (phacic and pseudophacic) was 100% in our study.

Conclusions:

ExPRESS glaucoma shunt surgery is very effective and safe surgery with low complication rate. Main drawback of the surgery is its cost.

Financial Disclosure:

NONE

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