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Ultrasound Cyclo Plasty in Eyes with Glaucoma
Published on: January 26, 2018
Retrieval of a mispositioned Ex-PRESS glaucoma device
M Sinan Saricaoglu1, Ahmet Karakurt, O Faruk Recep
1From Ankara Numune Training and Research Hospital, Third Eye Clinic, Ankara, Turkey.
Summary
A dislocated Ex-PRESS glaucoma drainage device in pseudoexfoliative glaucoma was removed. Trabeculectomy successfully relieved intraocular pressure, suggesting it as a viable treatment for failed glaucoma devices.
Area of Science:
- Ophthalmology
- Glaucoma Research
- Surgical Innovation
Background:
- Pseudoexfoliative glaucoma presents unique challenges for intraocular pressure management.
- Glaucoma drainage devices, like the Ex-PRESS device, are used to lower eye pressure.
- Device malposition can lead to complications and treatment failure.
Observation:
- An Ex-PRESS glaucoma drainage device dislocated into the anterior chamber.
- Excessive fibrosis formed at the implant site.
- The device was partially dislocated, impacting its function.
Findings:
- Successful retrieval of the dislocated Ex-PRESS device from the anterior chamber.
- Trabeculectomy performed at the superotemporal globe effectively relieved intraocular pressure.
- The patient's intraocular pressure was managed post-retrieval.
Implications:
- Trabeculectomy is a practical and effective surgical option for managing failed glaucoma drainage devices.
- This case highlights the importance of considering fibrosis in glaucoma surgery outcomes.
- Further research into managing complications of glaucoma drainage devices is warranted.
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