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Abstract #22465 Published in IGR 10-4
Ex-PRESS glaucoma shunt dislocation into the anterior chamber
Teng CC; Radcliffe N; Huang JE; Farris EJournal of Glaucoma 2008; 17: 687-689
We report a case of an 84-year-old man who had an Ex-PRESS R-50 glaucoma shunt placed under a scleral flap in his right eye for primary open angle glaucoma and uncontrolled intraocular pressure. Twenty-one days after placing the implant, the patient returned with a dislocated shunt resting in the inferior angle of the anterior chamber. Corrected vision was 20/30 with an intraocular pressure of 13 mmHg. There was no anterior chamber inflammation and no evidence of corneal decompensation. To our knowledge, this is the first report of an Ex-PRESS shunt dislocation into the anterior chamber. Ophthalmologists implanting this device should be aware of this possible complication of Ex-PRESS shunt insertion.
Dr. C.C. Teng, Department of Ophthalmology, New York University School of Medicine, New York, NY, USA
