Journal of Glaucoma

Skip Navigation LinksHome > April/May 2014 - Volume 23 - Issue 4 > Minimally Invasive External Mini-Glaucoma Shunt Implantation...
Journal of Glaucoma:
doi: 10.1097/IJG.0b013e31826a7edf
Case Report

Minimally Invasive External Mini-Glaucoma Shunt Implantation Without Conjunctival Dissection

Hoffman, Richard S. MD*; Crandall, Alan S. MD; Crandall, David A. MD; Fine, I. Howard MD*; Packer, Mark MD*; Sims, Annette C. MD*

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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.

© 2014 by Lippincott Williams & Wilkins.

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