EX-PRESS shunt implantation in Chinese glaucoma patients: 1-year results

Jennifer W H Shum, Bonnie N. K. Choy, J. Chan, W. L. Ho, Stephanie Cheri Woo, J. Lai
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Abstract

Aim: To report the safety and efficacy of EX-PRESS glaucoma filtration device implantation in Chinese glaucoma patients.Methods: Records of 38 eyes from 38 Chinese glaucoma patients who underwent EX-PRESS shunt implantation between August 2012 and June 2014 with at least 1 year of follow-up were retrospectively reviewed. Main outcome measures included intraocular pressure (IOP), visual acuity, success rate, number of topical antiglaucoma medications applied, and postoperative complications.Results: The mean IOP reduced significantly from 25.8±12.4 mmHg before surgery to 15.1±6.3 mmHg at 1 year after surgery (p<0.005). Repeated measures ANOVA showed that IOP at all time points after surgery was significantly lower than IOP before surgery. 73.7% of patients achieved complete or qualified success.Conclusions: EX-PRESS shunt implantation is safe and effective in Chinese patients.
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中国青光眼患者的EX-PRESS分流器植入:1年的结果
目的:报道EX-PRESS青光眼滤过器植入术在青光眼患者中的安全性和有效性。方法:回顾性分析2012年8月至2014年6月38例中国青光眼患者行EX-PRESS分流器植入术1年以上随访的38只眼的资料。主要观察指标包括眼压(IOP)、视力、成功率、局部抗青光眼药物使用次数和术后并发症。结果:术后1年平均IOP由术前25.8±12.4 mmHg降至15.1±6.3 mmHg (p<0.005)。重复测量方差分析显示,术后各时间点IOP均明显低于术前。73.7%的患者获得完全或合格的成功。结论:EX-PRESS分流器植入术安全有效。
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