a digital supplement
Surgeons share their experiences and provide pearls for successful outcomes.
A procedure worth trying—by Leon Herndon, MD
I began using the EX-PRESS Glaucoma Filtration Device (Alcon Laboratories, Inc., Fort Worth, TX) in July 2006, after it became
popularized as a subscleral flap procedure in response to the work of Eli Dahan, MD, of South Africa.1 I conducted a comparison study of the eyes I
implanted with the EX-PRESS device between July 2006 and June 2007 and those I had treated with trabeculectomy between July 2005 and June 2006.2 The 9-
month efficacy results showed...
To update or replace trabeculectomy?
Can glaucoma's most effective procedure for lowering IOP be improved?
By Garry P. Condon, MD
Surgical technique with the Ex-PRESS Shunt
Details on how I perform this procedure.
By Iqbal Ike Ahmed, MD
A new glaucoma device with potential
Why I changed my tune about the Ex-PRESS Mini Glaucoma Shunt
By Thomas W. Samuelson, MD
EX-PRESS Combined Procedure
The results of this study caused the investigators to conclude that the implant was a more effective procedure than trabeculectomy with a lower incidence of complications in patients who had already undergone some type of previous surgery. These findings raised the question: is trabeculectomy still a viable option, or does the glaucoma implant change our standard of care?
I now frequently use the EX-PRESS Glaucoma Filtration Device in many cases in which I would perform a trabeculectomy procedure.
I now implant the EX-PRESS device the majority of the time, rather than perform my standard trabeculectomy procedure, and I get excellent results.
Once the EX-PRESS device was modified for use under the scleral flap, I decided to try it in my patients, and I have been using the EX-PRESS device-assisted guarded filtration procedure since then with increasing frequency.