File Download
There are no files associated with this item.
Links for fulltext
(May Require Subscription)
- Publisher Website: 10.5005/jp-journals-10008-1156
- Scopus: eid_2-s2.0-84936880950
- Find via
Supplementary
-
Citations:
- Scopus: 0
- Appears in Collections:
Article: Early Postoperative Results And Complications Of Using The Ex-press Shunt In Uncontrolled Uveitis Glaucoma: A Case Series Of Preliminary Results
Title | Early Postoperative Results And Complications Of Using The Ex-press Shunt In Uncontrolled Uveitis Glaucoma: A Case Series Of Preliminary Results |
---|---|
Authors | |
Keywords | EX-PRESS Uveitic glaucoma Intraocular pressure Success Complications Medication |
Issue Date | 2014 |
Citation | Journal of Current Glaucoma Practice, 2014, v. 8 n. 1, p. 20-24 How to Cite? |
Abstract | Purpose: The purpose of this case series is to describe the efficacy of the EX-PRESS shunt in uveitic glaucoma. Methods: This prospective case series sequentially recruited uveitic glaucoma subjects with intraocular pressure (IOP) > 21 mm Hg despite maximal topical antiglaucoma medications from July 2012 to July 2013 in Hong Kong. All subjects received a trabeculectomy with mitomycin C (MMC) and EX-PRESS shunt implantation. The primary outcome measures included preoperative IOP and postoperative IOP on day 1, 1 week, 1 month, and every 3 months thereafter. The secondary outcome measures included postoperative complications and follow-up procedures, pre- and postoperative Snellen best corrected visual acuity and cup-disc ratio, as well as the number of antiglaucoma medication required. Results: In a case series of five subjects with uncontrolled uveitic glaucoma, two had inactive anterior uveitis, and three had active panuveitis. The mean preoperative IOP was 35.4 ± 12.6 mm Hg on 3.8 ± 0.5 antiglaucoma eye drops. The mean day 1, 1 week and 1 month IOP’s were 6.6 ± 3.7 mm Hg, 7.2 ± 3.2 mm Hg, and 12.6 ± 8.2 mm Hg, respectively. One case required subconjunctival MMC injections postoperatively; two required conjunctival resuture for leakage; and two had early postoperative hypotony that resolved after oral prednisolone. At 6 months, the mean IOP was 13.2 ± 4.6 mm Hg. Four out of five subjects had IOP < 21 mm Hg without medication, and all had IOP < 21 mm Hg with antiglaucoma medication. Conclusion: The EX-PRESS shunt demonstrates good IOP control with a propensity for hypotony in the early postoperative period in this small uveitic glaucoma series. |
Persistent Identifier | http://hdl.handle.net/10722/205570 |
ISSN | 2023 SCImago Journal Rankings: 0.317 |
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Chan, JCH | en_US |
dc.contributor.author | Li, Q | en_US |
dc.contributor.author | Lai, JSM | en_US |
dc.date.accessioned | 2014-09-20T04:00:22Z | - |
dc.date.available | 2014-09-20T04:00:22Z | - |
dc.date.issued | 2014 | en_US |
dc.identifier.citation | Journal of Current Glaucoma Practice, 2014, v. 8 n. 1, p. 20-24 | en_US |
dc.identifier.issn | 0974-0333 | - |
dc.identifier.uri | http://hdl.handle.net/10722/205570 | - |
dc.description.abstract | Purpose: The purpose of this case series is to describe the efficacy of the EX-PRESS shunt in uveitic glaucoma. Methods: This prospective case series sequentially recruited uveitic glaucoma subjects with intraocular pressure (IOP) > 21 mm Hg despite maximal topical antiglaucoma medications from July 2012 to July 2013 in Hong Kong. All subjects received a trabeculectomy with mitomycin C (MMC) and EX-PRESS shunt implantation. The primary outcome measures included preoperative IOP and postoperative IOP on day 1, 1 week, 1 month, and every 3 months thereafter. The secondary outcome measures included postoperative complications and follow-up procedures, pre- and postoperative Snellen best corrected visual acuity and cup-disc ratio, as well as the number of antiglaucoma medication required. Results: In a case series of five subjects with uncontrolled uveitic glaucoma, two had inactive anterior uveitis, and three had active panuveitis. The mean preoperative IOP was 35.4 ± 12.6 mm Hg on 3.8 ± 0.5 antiglaucoma eye drops. The mean day 1, 1 week and 1 month IOP’s were 6.6 ± 3.7 mm Hg, 7.2 ± 3.2 mm Hg, and 12.6 ± 8.2 mm Hg, respectively. One case required subconjunctival MMC injections postoperatively; two required conjunctival resuture for leakage; and two had early postoperative hypotony that resolved after oral prednisolone. At 6 months, the mean IOP was 13.2 ± 4.6 mm Hg. Four out of five subjects had IOP < 21 mm Hg without medication, and all had IOP < 21 mm Hg with antiglaucoma medication. Conclusion: The EX-PRESS shunt demonstrates good IOP control with a propensity for hypotony in the early postoperative period in this small uveitic glaucoma series. | - |
dc.language | eng | en_US |
dc.relation.ispartof | Journal of Current Glaucoma Practice | en_US |
dc.subject | EX-PRESS | - |
dc.subject | Uveitic glaucoma | - |
dc.subject | Intraocular pressure | - |
dc.subject | Success | - |
dc.subject | Complications | - |
dc.subject | Medication | - |
dc.title | Early Postoperative Results And Complications Of Using The Ex-press Shunt In Uncontrolled Uveitis Glaucoma: A Case Series Of Preliminary Results | en_US |
dc.type | Article | en_US |
dc.identifier.email | Lee, WYJ: jackylee@hku.hk | en_US |
dc.identifier.email | Chan, JCH: jonochan@hkucc.hku.hk | en_US |
dc.identifier.email | Li, Q: qinglee@hku.hk | en_US |
dc.identifier.email | Lai, JSM: laism@hku.hk | en_US |
dc.identifier.authority | Lee, WYJ=rp01498 | en_US |
dc.identifier.authority | Li, Q=rp01741 | en_US |
dc.identifier.authority | Lai, JSM=rp00295 | en_US |
dc.description.nature | link_to_OA_fulltext | - |
dc.identifier.doi | 10.5005/jp-journals-10008-1156 | - |
dc.identifier.scopus | eid_2-s2.0-84936880950 | - |
dc.identifier.hkuros | 238310 | en_US |
dc.identifier.volume | 8 | en_US |
dc.identifier.issue | 1 | - |
dc.identifier.spage | 20 | en_US |
dc.identifier.epage | 24 | en_US |
dc.identifier.eissn | 0975-1947 | - |
dc.identifier.issnl | 0974-0333 | - |