Minimally invasive external mini-glaucoma shunt implantation without conjunctival dissection

J Glaucoma. 2014 Apr-May;23(4):254-7. doi: 10.1097/IJG.0b013e31826a7edf.

Abstract

The current method for implantation of the Ex-PRESS Glaucoma Filtration Device requires a conjunctival peritomy and shunt insertion under the guarded protection of a scleral flap. This technique requires suture closure of the flap and conjunctiva. A new minimally invasive technique for Ex-PRESS shunt implantation allows for insertion through a scleral tunnel originating from a grooved clear corneal incision. This new method avoids the need for conjunctival dissection and closure and offers the advantages of eliminating conjunctival wound leaks while maintaining the protection of a partial thickness scleral covering. This new technique may offer a faster safer means for shunt implantation with the potential for less conjunctival scarring.

MeSH terms

  • Conjunctiva / surgery*
  • Exfoliation Syndrome / physiopathology
  • Exfoliation Syndrome / surgery*
  • Glaucoma Drainage Implants*
  • Glaucoma, Open-Angle / physiopathology
  • Glaucoma, Open-Angle / surgery*
  • Humans
  • Intraocular Pressure / physiology
  • Minimally Invasive Surgical Procedures*
  • Prosthesis Implantation / methods*
  • Surgical Flaps
  • Suture Techniques