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Abstract #94752 Published in IGR 22-2

Ex-PRESS® implant as the first surgical option in the iridocorneal endothelial syndrome

Rodrigo-Rey S; Bolívar G; Paz J; Teus MÁ
Archivos de la Sociedad Espanola de Oftalmologia 2021; 96: 430-433

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Our purpose is to report the intermediate-term results of the Ex-PRESS® implant as the first surgical option in patients with Iridocorneal Endothelial (ICE) Syndrome. We describe two patients diagnosed from ICE syndrome with medically uncontrolled glaucoma and finally treated with an Ex-PRESS® implant, associating a cataract surgery in one of them. Three years after surgery, intraocular pressure remains stable without any additional medical antiglaucomatous treatment, with a well-located implant surrounded by a diffuse filtering bleb and no sight-threatening adverse events have been documented. In addition, no progression of the disease has been registered. This report encourage the Ex-PRESS® implant to be considered the first surgical option in this patients as it allows a permeable ostium in spite of the progressive synechial angle closure typical of the ICE syndrome.

Ophthalmology Department, Universitary Hospital «Príncipe de Asturias», Alcalá de Henares, Madrid, Spain. Electronic address: sara.rodrigor@gmail.com.

Full article

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Classification:

9.4.2.1 Iridocorneal endothelial syndrome (ICE, incl. irisatrophy) (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.2 Glaucomas associated with disorders of the cornea, conjunctiva, sclera)
12.8.2 With tube implant or other drainage devices (Part of: 12 Surgical treatment > 12.8 Filtering surgery)

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