Ex-PRESS Miniature Glaucoma Shunt for the Treatment of Uveitic Glaucomas
The Ex-PRESS mini-glaucoma device is an alternative to traditional trabeculectomy. The device has been found to be safe, as efficacious and even superior to trabeculectomy in some aspects. For complex glaucomas, the Ex-PRESS should be considered as an alternative to glaucoma drainage implants. Winston Churchill once said, “Without tradition, art is a flock of sheep without a shepherd. Without innovation, it is a corpse.” Often in times of technological advance, progress requires a melding of tradition and innovation. Ophthalmology and glaucoma surgery are no different. Amidst a flood of minimally invasive glaucoma surgical advancements, filtration and shunt surgeries remain steadfast as definitive therapies for severe glaucoma. Trabeculectomy has remained the gold standard for glaucoma surgery; however, advances in surgical technique have even come to this decades-old procedure. The Ex-PRESS Mini-Glaucoma Device is now accepted in many circles as a modification of the trabeculectomy procedure available to many patients.
KeywordsGlaucoma Glaucoma surgery Trabeculectomy Ex-PRESS device Intraocular pressure
Compliance with Ethical Requirements
Dr. Allen had no conflict of interest. Dr. Sarkisian is a consultant to Alcon. All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study.
Ex-PRESS Shunt Implantation; Steven R. Sarkisian, Jr., MD (MV4 204,075 kb)
- 5.Traverso CE, De Feo F, Messas-Kaplan A, Denis P, Levartovsky S, Sellem E, Badala F, Zagorski Z, Bron A, Gandolfi S, Belkin M. Long term effect on IOP of a stainless steel glaucoma drainage implant (Ex-PRESS) in combined surgery with phacoemulsification. Br J Ophthalmol. 2005;89(4):425–9. doi: 10.1136/bjo.2004.058032.PubMedCentralCrossRefPubMedGoogle Scholar
- 9.Netland PA, Sarkisian Jr SR, Moster MR, Ahmed II, Condon G, Salim S, Sherwood MB, Siegfried CJ. Randomized, prospective, comparative trial of EX-PRESS glaucoma filtration device versus trabeculectomy (XVT study). Am J Ophthalmol. 2014;157(2):433–40. doi: 10.1016/j.ajo.2013.09.014. e433.CrossRefPubMedGoogle Scholar