EX-PRESS Glaucoma Filtration Device: efficacy, safety, and predictability

Jessica E Chan, Peter A Netland Department of Ophthalmology, University of Virginia School of Medicine, Charlottesville, VA, USA Abstract: Trabeculectomy has been the traditional primary surgical therapy for open-angle glaucoma. While trabeculectomy is effective in lowering intraocular pressure, co...

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Autores principales:	Chan JE, Netl, PA
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Medical technology R855-855.5
Acceso en línea:	https://doaj.org/article/43ded5426e1943e887f5022000fb42f2
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spelling	oai:doaj.org-article:43ded5426e1943e887f5022000fb42f22021-12-02T01:41:40ZEX-PRESS Glaucoma Filtration Device: efficacy, safety, and predictability1179-1470https://doaj.org/article/43ded5426e1943e887f5022000fb42f22015-09-01T00:00:00Zhttps://www.dovepress.com/ex-press-glaucoma-filtration-device-efficacy-safety-and-predictability-peer-reviewed-article-MDERhttps://doaj.org/toc/1179-1470Jessica E Chan, Peter A Netland Department of Ophthalmology, University of Virginia School of Medicine, Charlottesville, VA, USA Abstract: Trabeculectomy has been the traditional primary surgical therapy for open-angle glaucoma. While trabeculectomy is effective in lowering intraocular pressure, complications associated with the procedure have motivated the development of alternative techniques and devices, including the EX-PRESS Glaucoma Filtration Device. This review describes the efficacy, safety, complication rates, and potential advantages and disadvantages of the EX-PRESS Glaucoma Filtration Device. EX-PRESS implantation is technically simpler compared with that of trabeculectomy, with fewer surgical steps. Vision recovery has been more rapid after EX-PRESS implantation compared with trabeculectomy. Intraocular pressure variation is lower during the early postoperative period, indicating a more predictable procedure. While efficacy of the EX-PRESS implant has been comparable to trabeculectomy, postoperative complications appear less common after EX-PRESS implantation compared with trabeculectomy. The EX-PRESS Glaucoma Filtration Device appears to be safe and effective in the surgical management of open-angle glaucoma. Keywords: surgery, trabeculectomy, mitomycin C, glaucoma drainage implantChan JENetlPADove Medical PressarticleMedical technologyR855-855.5ENMedical Devices: Evidence and Research, Vol 2015, Iss default, Pp 381-388 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medical technology R855-855.5
spellingShingle	Medical technology R855-855.5 Chan JE Netl PA EX-PRESS Glaucoma Filtration Device: efficacy, safety, and predictability
description	Jessica E Chan, Peter A Netland Department of Ophthalmology, University of Virginia School of Medicine, Charlottesville, VA, USA Abstract: Trabeculectomy has been the traditional primary surgical therapy for open-angle glaucoma. While trabeculectomy is effective in lowering intraocular pressure, complications associated with the procedure have motivated the development of alternative techniques and devices, including the EX-PRESS Glaucoma Filtration Device. This review describes the efficacy, safety, complication rates, and potential advantages and disadvantages of the EX-PRESS Glaucoma Filtration Device. EX-PRESS implantation is technically simpler compared with that of trabeculectomy, with fewer surgical steps. Vision recovery has been more rapid after EX-PRESS implantation compared with trabeculectomy. Intraocular pressure variation is lower during the early postoperative period, indicating a more predictable procedure. While efficacy of the EX-PRESS implant has been comparable to trabeculectomy, postoperative complications appear less common after EX-PRESS implantation compared with trabeculectomy. The EX-PRESS Glaucoma Filtration Device appears to be safe and effective in the surgical management of open-angle glaucoma. Keywords: surgery, trabeculectomy, mitomycin C, glaucoma drainage implant
format	article
author	Chan JE Netl PA
author_facet	Chan JE Netl PA
author_sort	Chan JE
title	EX-PRESS Glaucoma Filtration Device: efficacy, safety, and predictability
title_short	EX-PRESS Glaucoma Filtration Device: efficacy, safety, and predictability
title_full	EX-PRESS Glaucoma Filtration Device: efficacy, safety, and predictability
title_fullStr	EX-PRESS Glaucoma Filtration Device: efficacy, safety, and predictability
title_full_unstemmed	EX-PRESS Glaucoma Filtration Device: efficacy, safety, and predictability
title_sort	ex-press glaucoma filtration device: efficacy, safety, and predictability
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/43ded5426e1943e887f5022000fb42f2
work_keys_str_mv	AT chanje expressglaucomafiltrationdeviceefficacysafetyandpredictability AT netl expressglaucomafiltrationdeviceefficacysafetyandpredictability AT pa expressglaucomafiltrationdeviceefficacysafetyandpredictability
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EX-PRESS Glaucoma Filtration Device: efficacy, safety, and predictability

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