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PURPOSE: To report post-operative course and complications in patients who underwent Ex-Press glaucoma shunt placement. DESIGN: Small case series. METHODS: Four patients were referred for management following Ex-Press shunt implantatio n. Patients underwent complete ophthalmologic evaluation and were appropriately managed. RESULTS: Of the four patients, two had inadequate control of intraocula r pressure related to bleb failure caused by subconjunctival scar tissue formati on. One patient experienced suprachoroidal hemorrhage 5 days after shunt placeme nt followed a year later with conjunctival erosion and shunt rim exposure. Endop hthalmitis from conjunctival erosion over the Ex-Press shunt rim was observed i n one patient. CONCLUSION: Patients with subconjunctival implantation of the Ex -Press shunt should bemonitored closely for possible conjunctival erosion that can lead to endophthalmitis and failure from fibrosis.
PURPOSE: To report post-operative course and complications in patients who underwent Ex-Press glaucoma shunt placement. DESIGN: Small case series. METHODS: Four patients were referred for management following Ex-Press shunt implantations.. Patients underwent complete complete ophthalmologic evaluation and were decent managed. RESULTS: Of the four patients, two had inadequate control of intraocula r pressure related to bleb failure caused by subconjunctival scar tissue formati on. One patient experienced suprachoroidal hemorrhage 5 days after shunt placeme nt followed a year later with conjunctival erosion and shunt rim exposure. Endop hthalmitis from conjunctival erosion over the Ex-Press shunt rim was observed in one patient. CONCLUSION: Patients with subconjunctival implantation of the Ex-Press shunt should bemonitored closely for possible conjunctival erosion that can lead to endophthalmitis and failure from fibrosis.