Imaging of filtering blebs after implantation of the Ex-PRESS shunt with the use of the Visante optical coherence tomography

• 作者: Aristeidis Konstantinidis Efthimia Tsaragli Georgios D Panos Georgios Labiris Magdalini Triantafylla Vassilios Kozobolis Zisis Gatzioufas
• 来源期刊: 国际眼科杂志：英文版
• 学科: 医学
• 关键词: Ex-PRESS GLAUCOMA optical COHERENCE TOMOGRAPHY
• 年，卷（期）: 2015,（3）
• 页码范围: 492-495
• 页数: 4页
• 分类号: R779.6

摘要

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.