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Glaucoma Surgery with the Ex-Press Glaucoma Shunt

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Surgical Innovations in Glaucoma

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Abstract

Commercially available for over a decade, the Ex-Press miniature glaucoma shunt has been implanted in more than 75,000 eyes. This biocompatible device shunts aqueous from the anterior chamber to an intrascleral plane and then into a filtration bleb similar fashion to that of a trabeculectomy, but without the need for sclerectomy or iridectomy. This theoretically simplifies glaucoma filtration surgery and possibly offers a more consistent drainage operation for the general ophthalmologist. We review the surgical implantation of an Ex-Press device and summarize the clinical outcomes, complications, and potential limitations of this novel device.

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Author information

Authors and Affiliations

  1. Department of Ophthalmology, City Eye Center, University of Queensland, 10/135 Wickham Terrace, Brisbane, QLD, 4000, Australia

    Lindsay A. McGrath MBBS & Graham A. Lee MBBS (Qld), MD, FRANZCO

  2. Department of Ophthalmology, Sydney Eye Hospital, Level 4, Park House, 187 Macquarie Street, Sydney, NSW, 2000, Australia

    Ivan Goldberg AM, MBBS, FRANZCO, FRACS

Authors
  1. Lindsay A. McGrath MBBS
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  2. Graham A. Lee MBBS (Qld), MD, FRANZCO
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  3. Ivan Goldberg AM, MBBS, FRANZCO, FRACS
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Corresponding author

Correspondence to Graham A. Lee MBBS (Qld), MD, FRANZCO .

Editor information

Editors and Affiliations

  1. Department of Surgery, Rocky Vista University, Parker, CO, USA

    John R. Samples MD

  2. Western Glaucoma Foundation, Portland, OR, USA

    John R. Samples MD

  3. Cornea Consultants of Colorado, Littleton, CO, USA

    John R. Samples MD

  4. The Eye Clinic, Portland, OR, USA

    John R. Samples MD

  5. Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, ON, Canada

    Iqbal Ike K. Ahmed MD, FRCSC

Electronic supplementary material

Below is the link to the electronic supplementary material.

In this 2-min video, Dr. Ike Ahmed demonstrates the insertion of the Ex-Press shunt (MPG 247224 kb)

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McGrath, L.A., Lee, G.A., Goldberg, I. (2014). Glaucoma Surgery with the Ex-Press Glaucoma Shunt. In: Samples, J.R., Ahmed, I.I.K. (eds) Surgical Innovations in Glaucoma. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8348-9_18

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  • DOI: https://doi.org/10.1007/978-1-4614-8348-9_18

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  • Online ISBN: 978-1-4614-8348-9

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