New Ab Interno Technique for Removal of Iris-Embedded EX-PRESS Shunt and Chronic Eye Pain Caused by Shunt Malpositioning

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New ab interno technique for removal of iris-embedded EX-PRESS shunt and chronic eye pain caused by shunt malpositioning.

The EX-PRESS shunt (Alcon Laboratory) is a stainless steel implant designed to shunt aqueous from the anterior chamber to the subconjunctival space.Thedevice isplacedundera scleral flap,with the lumenideallypositionedparallel to the iris. A properly positioned EX-PRESS shunt creates acontrolledcommunicationbetween the anterior chamber and the bleb.1 Several shunt-specific complications havebeen...

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Impending extrusion of Ex-PRESS shunt treated by shunt-position adjustment: a case report

BACKGROUND To report a case of impending extrusion of Ex-PRESS shunt treated by shunt-position adjustment. CASE PRESENTATION A 56-year-old Asian woman presented with impending extrusion and malposition of Ex-PRESS shunt in her left eye. The bleb of the left eye was shallow and diffuse. In the past, the patient was treated by Ex-PRESS shunt implantation under the scleral flap in both eyes. The...

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Ex-PRESS miniature glaucoma shunt in treatment of refractory glaucoma.

Refractory glaucoma in a complicated type of glaucoma of different ethyologies with one same characteristic--intraocular pressure of great resistance to therapy. There are different methods of treatment in such glaucomas, primary surgical options. Ex-PRESS miniature glaucoma shunt implantation was our treatment of choice. In our group of patients we achieved stabile intraocular pressure values ...

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Surgical treatment of neovascular glaucoma with Ex-PRESS glaucoma shunt

RATIONALE Neovascular glaucoma (NVG) is one of the most aggressive types of glaucoma, and its abnormal fibrovascular tissue growth on the iris and trabecular meshwork may create difficulties to control the intraocular pressure (IOP) and perform the operation such as trabeculectomy. PATIENT CONCERNS Ex-PRESS glaucoma shunt has been introduced to serve as one alternative operation for glaucoma,...

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Clinical experience with Ex-press Mini Glaucoma Shunt implantation.

In this prospective study we wanted to report our experience and to evaluate the efficacy and safety of Ex-press Mini-Glaucoma Shunt implantation under a superficial scleral flap, as a newly and improved surgical technology in a treatment of POAG (Primary open-angle glaucoma) and refractory glaucoma. 44 eyes (35 patients) underwent an implantation of Ex-Press Mini Glaucoma Shunt. We had 21 pati...

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ژورنال

عنوان ژورنال: JAMA Ophthalmology

سال: 2013

ISSN: 2168-6165

DOI: 10.1001/jamaophthalmol.2013.4274