Ex-Press Mini Shunt Implant : The Efficacy And Complications In Open Angle Glaucoma Surgical Treatment.

To evaluate the efficacy and complications  of Ex-Press Mini Shunt Implant for the surgical treatment of open angle glaucoma.

Magrabi Eye and Ear Hospitals and Centers.

Jeddah, Saudi Arabia.

Retrospective,chart review of 23 patient (32eyes)underwent Ex-Press Mini Shunt glaucoma procedure for treatment of open angle glaucoma,between January 2014–January 2015.All precedures were performed by the same  surgeon.The study included patients with glaucoma underwent Ex-Press mini shunt surgery alone or combined with cataract extraction by phacoemulsification. Intraocular pressure (IOP), glaucoma medications and complication were recoreded preoperatively,and postoperatively at1day,1 week,1 month,3 months and 6 months.Complete success was defined as:IOP <18 without any glaucoma medication and qualified success was defined as: IOP <18 with glaucoma medication.Ocular massage and suturlysis were considered as; normal follow up management .

Total success was noted in 26 eyes (81%) ,with complete success in 23eyes (88%) and qualified success in 3eyes (12%) at 6 months after the surgery . 

The noticed complications were shallow AC in 2 eyes (6%) with hypotony.

Ex-Press Mini Shunt Implant is an effective surgical treatment for primary open angle glaucoma patient with minimal postoperative complications.