The Ex-PRESS Glaucoma Drainage Device: Current Perspective
The ExPRESS glaucoma implant is a miniature stainless steel device that offers a simple and safe alternative to the classic trabeculectomy. It is a minimally penetrating glaucoma surgery (MPGS), with proposed advantages of standardizing filtration surgery with reduced risk of early postoperative com...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2014-01-01
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| Series: | Delhi Journal of Ophthalmology |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.7869/djo.33 |
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| Summary: | The ExPRESS glaucoma implant is a miniature stainless steel device that offers a simple and safe alternative to the classic trabeculectomy. It is a minimally penetrating glaucoma surgery (MPGS), with proposed advantages of standardizing filtration surgery with reduced risk of early postoperative complications and a short learning curve. However, the device is associated with unique intraoperative and postoperative problems in addition to a high cost which merits a serious review of its role in current glaucoma practice despite tremendous market pressures. We put forth this review for a balanced perspective on the merits, pitfalls and cautions on the use of this device, giving the implant details, indications, current surgical procedure for implantation, and a literature review comparing ExPRESS to trabeculectomy. |
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| ISSN: | 0972-0200 2454-2784 |