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.
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| http://dx.doi.org/10.1016/j.ajo.2005.02.033 | DOI Listing |
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