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EX-PRESS Glaucoma Filtration Device: efficacy, safety, and predictability

Trabeculectomy has been the traditional primary surgical therapy for open-angle glaucoma. While trabeculectomy is effective in lowering intraocular pressure, complications associated with the procedure have motivated the development of alternative techniques and devices, including the EX-PRESS Glauc...

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Autores principales: Chan, Jessica E, Netland, Peter A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4562650/
https://www.ncbi.nlm.nih.gov/pubmed/26366105
http://dx.doi.org/10.2147/MDER.S63350
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author Chan, Jessica E
Netland, Peter A
author_facet Chan, Jessica E
Netland, Peter A
author_sort Chan, Jessica E
collection PubMed
description Trabeculectomy has been the traditional primary surgical therapy for open-angle glaucoma. While trabeculectomy is effective in lowering intraocular pressure, complications associated with the procedure have motivated the development of alternative techniques and devices, including the EX-PRESS Glaucoma Filtration Device. This review describes the efficacy, safety, complication rates, and potential advantages and disadvantages of the EX-PRESS Glaucoma Filtration Device. EX-PRESS implantation is technically simpler compared with that of trabeculectomy, with fewer surgical steps. Vision recovery has been more rapid after EX-PRESS implantation compared with trabeculectomy. Intraocular pressure variation is lower during the early postoperative period, indicating a more predictable procedure. While efficacy of the EX-PRESS implant has been comparable to trabeculectomy, postoperative complications appear less common after EX-PRESS implantation compared with trabeculectomy. The EX-PRESS Glaucoma Filtration Device appears to be safe and effective in the surgical management of open-angle glaucoma.
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spelling pubmed-45626502015-09-11 EX-PRESS Glaucoma Filtration Device: efficacy, safety, and predictability Chan, Jessica E Netland, Peter A Med Devices (Auckl) Review Trabeculectomy has been the traditional primary surgical therapy for open-angle glaucoma. While trabeculectomy is effective in lowering intraocular pressure, complications associated with the procedure have motivated the development of alternative techniques and devices, including the EX-PRESS Glaucoma Filtration Device. This review describes the efficacy, safety, complication rates, and potential advantages and disadvantages of the EX-PRESS Glaucoma Filtration Device. EX-PRESS implantation is technically simpler compared with that of trabeculectomy, with fewer surgical steps. Vision recovery has been more rapid after EX-PRESS implantation compared with trabeculectomy. Intraocular pressure variation is lower during the early postoperative period, indicating a more predictable procedure. While efficacy of the EX-PRESS implant has been comparable to trabeculectomy, postoperative complications appear less common after EX-PRESS implantation compared with trabeculectomy. The EX-PRESS Glaucoma Filtration Device appears to be safe and effective in the surgical management of open-angle glaucoma. Dove Medical Press 2015-09-02 /pmc/articles/PMC4562650/ /pubmed/26366105 http://dx.doi.org/10.2147/MDER.S63350 Text en © 2015 Chan and Netland. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Review
Chan, Jessica E
Netland, Peter A
EX-PRESS Glaucoma Filtration Device: efficacy, safety, and predictability
title EX-PRESS Glaucoma Filtration Device: efficacy, safety, and predictability
title_full EX-PRESS Glaucoma Filtration Device: efficacy, safety, and predictability
title_fullStr EX-PRESS Glaucoma Filtration Device: efficacy, safety, and predictability
title_full_unstemmed EX-PRESS Glaucoma Filtration Device: efficacy, safety, and predictability
title_short EX-PRESS Glaucoma Filtration Device: efficacy, safety, and predictability
title_sort ex-press glaucoma filtration device: efficacy, safety, and predictability
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4562650/
https://www.ncbi.nlm.nih.gov/pubmed/26366105
http://dx.doi.org/10.2147/MDER.S63350
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