An Ex-Press implant versus trabeculectomy in a fibrotic bleb with late failure after previous trabeculectomy.

ABSTRACT:

Aim

To compare the outcome of an Ex-Press implant and subscleral trabeculectomy (SST) in the management of glaucoma after previous trabeculectomy on a fibrotic bleb.

Methods

This randomized prospective study included 28 eyes from 28 patients (age range: 42-55y) with primary open angle glaucoma (POAG) presented with elevated intraocular pressure (IOP) with fibrotic bleb despite previous SST for more than 4mo. The eyes enrolled in the study were divided into two groups: group I (subjected to Ex-Press implant surgery) and group II [subjected to SST with mitomycin C (MMC)]. The follow-up continued one year after surgery to evaluate IOP, visual acuity (VA), visual field (VF), and postoperative complications.

Results

A significant decrease in IOP was found in both groups wi

SUBMITTER: Wagdy F 

PROVIDER: S-EPMC7930553 | biostudies-literature | 2021

REPOSITORIES: biostudies-literature