COMPARISON BETWEEN EX-PRESS MINI SHUNT IMPLANTATION AND DEEP SCLEROTOMY IN PATIENTS WITH PRIMARY OPEN-ANGLE GLAUCOMA (POAG) | ||||
| Egyptian Journal of Clinical Ophthalmology | ||||
| Article 5, Volume 4, Issue 2, December 2021, Page 57-65 PDF (616.86 K) | ||||
| Document Type: Original articles: include clinical trials, interventional research, Basic researches and clinically relevant laboratory investigations | ||||
| DOI: 10.21608/ejco.2021.215520 | ||||
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| Authors | ||||
| Khallaf, H.1; Abdel Badie, M.2; El-moddather, M.2; Gad El kareem, A.2 | ||||
| 1Medical administration, Sohag University, Egypt. | ||||
| 2Ophthalmology dept., Faculty of medicine, Al-Azher Univ., Assiut, Egypt. | ||||
| Abstract | ||||
| Purpose: is to compare the success rate of Ex-PRESS implantation vs deep sclerotomy (DS) in patients with primary open-angle glaucoma (POAG). Patients and methods: This is a randomized prospective interventional comparative study between Ex-PRESS and DS maneuvers in patients with POAG. The study included 47patients (50 eyes) with POAG. The patients were divided into two groups. Group 1 included 25 patients (25 eyes) who underwent Ex-PRESS device implantation. Group 2 included 22 patients (25 eyes) who underwent DS. All included patients underwent a thorough ophthalmic examination. At the end of the 1st year postoperatively, best corrected visual acuity (BCVA) [logMAR], intraocular pressure (IOP), number of anti-glaucoma medications in use were obtained. Results: In group 1, complete success rate was 76%, qualified success rate was 20% and failure rate 4% occurred in 1 eye of patients which needed explantation of the device and another glaucoma filtering surgery due to device-corneal touch. Meanwhile in group 2, complete success rate was36% and qualified success rate was 64% without any recorded failure in this group (Both Ps<0.01) in both groups. Conclusion: favorable effects on IOP and the need for IOP-lowering medications in both Ex-PRESS and DS groups. However, in DS group, higher preoperative IOP is associated with increased failure rate necessitating more postoperative IOP adjustments than Ex-PRESS group. | ||||
| Keywords | ||||
| POAG; Deep sclerotomy; IOP; Ex-PRESS; Trabeculectomy | ||||
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