Complications Following Ex-Press Glaucoma Shunt Implantation - 18/08/11
Inquiries to Ramesh S. Ayyala, MD, FRCS, FRCOphth, Glaucoma Service, Department of Ophthalmology, Tulane University Medical Center, 1430 Tulane Avenue, New Orleans, LA 70112; fax: 504-988-2684Résumé |
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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| Supported in part by the Tulane Glaucoma Research Fund. |
Vol 140 - N° 2
P. 340.e1-340.e3 - août 2005 Retour au numéro
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