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EX-PRESS Glaucoma Filtration Device: Management of Complications
Michele Nicolai1, Alessandro Franceschi1, Paolo Pelliccioni1
1Eye Clinic, Polytechnic University of Marche, via Conca 61, 60126 Ancona, Italy.
Abstract:
The EX-PRESS glaucoma filtration device appears to be an effective addition to our options to treat refractory glaucoma. The possibility to create a sclerostomy without tissue excision provides a safe and reliable outflow pathway for aqueous that is standard in size, reducing much of the variability associated with a surgical procedure. Prospective randomized studies comparing EX-PRESS implantation with trabeculectomy show encouraging results. However, complications usually encountered in filtration surgery have been reported, and EX-PRESS implantation can also lead to specific device-related complications. This article reviews the most common complications associated with this procedure.
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