advertisement
Abstract #61375 Published in IGR 17-1
Imaging of filtering blebs after implantation of the Ex-PRESS shunt with the use of the Visante optical coherence tomography
Konstantinidis A; Panos GD; Triantafylla M; Labiris G; Tsaragli E; Gatzioufas Z; Kozobolis VInternational Journal of Ophthalmology 2015; 8: 492-495
AIM: To analyze the features of the filtering blebs following implantation of the Ex-PRESS glaucoma device (model P-50) with the aid of the Visante anterior segment optical coherence tomography (AS-OCT). METHODS: Five patients with open angle glaucomas were included in the study. They all underwent implantation of the Ex-PRESS device under a scleral flap. The surgical procedure was augmented with the use of mitomycin C subconjunctivally. The filtering blebs were analyzed with the Visante AS-OCT with the scans taken along the axis of the implantation of the glaucoma device. RESULTS: All filtering blebs were graded as diffuse functioning. The morphological characteristics of the blebs were similar to those of the trabeculectomy. However the use of the Ex-PRESS implant tend to form a characteristic episcleral lake at the site of the plate of the implant. CONCLUSION: The use of the Ex-PRESS implant produces filtering blebs similar to those of the trabeculectomy with the formation of a characteristic episcleral lake at the site of the plate of the implant.
Department of Ophthtalmology, University Hospital of Alexandroupolis & Eye Institute of Thrace, Dragana 68100, Alexandroupolis, Greece.
Full articleClassification:
12.8.2 With tube implant or other drainage devices (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
6.9.2.1 Anterior (Part of: 6 Clinical examination methods > 6.9 Computerized image analysis > 6.9.2 Optical coherence tomography)
