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Comparison of ex‐press miniature implant with standard trabeculectomy after combined glaucoma surgery
Author(s) -
IBANEZ J,
PEREZ GARCIA D,
PEIRO C,
JIMENEZ B,
RAMIRO P,
CABEZON L,
MATEO A,
CRISTOBAL JA
Publication year - 2011
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2011.233.x
Subject(s) - trabeculectomy , phacoemulsification , medicine , glaucoma , implant , surgery , ophthalmology , glaucoma surgery , cataract surgery , visual acuity
Purpose To evaluate postoperative outcomes after combined phacoemulsification and glaucoma surgery with Ex‐PRESS miniature implant compared with combined surgery with standard trabeculectomy. Methods Prospective series of 24 consecutive eyes we compared 12 eyes in patients treated with combined phacoemulsification and glaucoma filtering surgery with the Ex‐PRESS miniature glaucoma implant under a scleral flap with 12 matched control eyes in patients who underwent combined cataract and glaucoma surgery with trabeculectomy. Results The average follow‐up was 10 months (range 3.4 to 14) for the Ex‐PRESS group and 12.3 months (range 4.0 to 16.5) for the trabeculectomy group. The mean IOP was significantly higher in the early postoperative period in the Ex‐PRESS group compared with the trabeculectomy group. Complications rate in the early postoperative period was significantily higher in the trabeculectomy group. No significant differences were objectified in success between both groups after the first week. Conclusion The Ex‐PRESS implant is an effective alternative to standard trabeculectomy in selected cases which makes possible to reduce the classic early postoperative complications associated with trabeculectomy.