The first report on intermediate-term outcome of Ex-PRESS® glaucoma filtration device implanted under scleral flap in Japanese patients
Tetsuya Sugiyama, Maho Shibata, Shota Kojima, Mari Ueki, Tsunehiko IkedaDepartment of Ophthalmology, Osaka Medical College, Takatsuki, Osaka, JapanPurpose: This paper compares the outcomes of the Ex-PRESS® Glaucoma Filtration Device (Alcon, Fort Worth, TX) implant observed in Japanese pa...
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Dove Medical Press
2011
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oai:doaj.org-article:5b5d221e081b485ca709dd3d8c3b55232021-12-02T05:17:01ZThe first report on intermediate-term outcome of Ex-PRESS® glaucoma filtration device implanted under scleral flap in Japanese patients1177-54671177-5483https://doaj.org/article/5b5d221e081b485ca709dd3d8c3b55232011-07-01T00:00:00Zhttp://www.dovepress.com/the-first-report-on-intermediate-term-outcome-of-ex-pressreg-glaucoma--a7988https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Tetsuya Sugiyama, Maho Shibata, Shota Kojima, Mari Ueki, Tsunehiko IkedaDepartment of Ophthalmology, Osaka Medical College, Takatsuki, Osaka, JapanPurpose: This paper compares the outcomes of the Ex-PRESS® Glaucoma Filtration Device (Alcon, Fort Worth, TX) implant observed in Japanese patients for 1 year with those of patients undergoing trabeculectomy.Patients and methods: The subjects comprised ten eyes of ten cases with open-angle glaucoma for which filtration surgery using Ex-PRESS (P-50) was performed by one operator from February 2008 and observed for at least 1 year (Ex-PRESS Group), and eleven eyes of eleven cases for which trabeculectomy was performed by the same operator (TE Group). For both groups, mitomycin C was used and a scleral flap was created after a fornix-based incision of the conjunctiva.Results: Hypotony and choroidal detachment were observed as early postoperative complications during a 1-week period in one-third of the cases in the TE Group, and failing vision in about 45%, while these were seen in fewer cases in the Ex-PRESS Group. No significant difference in intraocular pressure (IOP) was observed during the period, but IOP variations on the day following the surgery were obviously narrower in the Ex-PRESS Group than in the TE Group. Visual acuity was significantly poorer from 1 week to 3 months in the TE Group while it was stable in the Ex-PRESS Group. The Ex-PRESS Group had fewer cases of laser suture lysis and fewer administrations of glaucoma eyedrop, and no cases of progression in the stage of visual field defect.Conclusion: Filtration surgery using the Ex-PRESS is unlikely to cause early complications in Japanese patients. Similarly to the trabeculectomy, the intermediate-term control of IOP showed favorable results.Keywords: Ex-PRESS, miniature glaucoma device, complication, efficacy, JapaneseSugiyama TShibata MKojima SUeki MIkeda TDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2011, Iss default, Pp 1063-1066 (2011) |
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Ophthalmology RE1-994 |
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Ophthalmology RE1-994 Sugiyama T Shibata M Kojima S Ueki M Ikeda T The first report on intermediate-term outcome of Ex-PRESS® glaucoma filtration device implanted under scleral flap in Japanese patients |
| description |
Tetsuya Sugiyama, Maho Shibata, Shota Kojima, Mari Ueki, Tsunehiko IkedaDepartment of Ophthalmology, Osaka Medical College, Takatsuki, Osaka, JapanPurpose: This paper compares the outcomes of the Ex-PRESS® Glaucoma Filtration Device (Alcon, Fort Worth, TX) implant observed in Japanese patients for 1 year with those of patients undergoing trabeculectomy.Patients and methods: The subjects comprised ten eyes of ten cases with open-angle glaucoma for which filtration surgery using Ex-PRESS (P-50) was performed by one operator from February 2008 and observed for at least 1 year (Ex-PRESS Group), and eleven eyes of eleven cases for which trabeculectomy was performed by the same operator (TE Group). For both groups, mitomycin C was used and a scleral flap was created after a fornix-based incision of the conjunctiva.Results: Hypotony and choroidal detachment were observed as early postoperative complications during a 1-week period in one-third of the cases in the TE Group, and failing vision in about 45%, while these were seen in fewer cases in the Ex-PRESS Group. No significant difference in intraocular pressure (IOP) was observed during the period, but IOP variations on the day following the surgery were obviously narrower in the Ex-PRESS Group than in the TE Group. Visual acuity was significantly poorer from 1 week to 3 months in the TE Group while it was stable in the Ex-PRESS Group. The Ex-PRESS Group had fewer cases of laser suture lysis and fewer administrations of glaucoma eyedrop, and no cases of progression in the stage of visual field defect.Conclusion: Filtration surgery using the Ex-PRESS is unlikely to cause early complications in Japanese patients. Similarly to the trabeculectomy, the intermediate-term control of IOP showed favorable results.Keywords: Ex-PRESS, miniature glaucoma device, complication, efficacy, Japanese |
| format |
article |
| author |
Sugiyama T Shibata M Kojima S Ueki M Ikeda T |
| author_facet |
Sugiyama T Shibata M Kojima S Ueki M Ikeda T |
| author_sort |
Sugiyama T |
| title |
The first report on intermediate-term outcome of Ex-PRESS® glaucoma filtration device implanted under scleral flap in Japanese patients |
| title_short |
The first report on intermediate-term outcome of Ex-PRESS® glaucoma filtration device implanted under scleral flap in Japanese patients |
| title_full |
The first report on intermediate-term outcome of Ex-PRESS® glaucoma filtration device implanted under scleral flap in Japanese patients |
| title_fullStr |
The first report on intermediate-term outcome of Ex-PRESS® glaucoma filtration device implanted under scleral flap in Japanese patients |
| title_full_unstemmed |
The first report on intermediate-term outcome of Ex-PRESS® glaucoma filtration device implanted under scleral flap in Japanese patients |
| title_sort |
first report on intermediate-term outcome of ex-press® glaucoma filtration device implanted under scleral flap in japanese patients |
| publisher |
Dove Medical Press |
| publishDate |
2011 |
| url |
https://doaj.org/article/5b5d221e081b485ca709dd3d8c3b5523 |
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