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ISSN 1561-3070 (Electronic)

2020, Number 4

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Rev Cub Oftal 2020; 33 (4)

Ex-PRESS implantation by Richard Hoffman's technique

Fumero GFY, Piloto DI, Baiocchi S, Arzuaga HE, Pérez RY

Language: Spanish
References: 20
Page: 1-12
PDF size: 521.98 Kb.


ABSTRACT

Filtration surgery is a therapeutic option aimed at reducing intraocular pressure when there is no response to non-surgical alternatives. Filtration surgery has developed remarkably in recent years. New devices have emerged geared to achieving pressure control with minimum complications. Among them, Ex-PRESS implantation has shown to be as effective as trabeculectomy, and the technique described by Richard Hoffman provides excellent results with fewer difficulties. A case is presented of a male white 51-year-old patient with a history of glaucoma, best corrected visual acuity 100 VAR, and intraocular pressure 32 mmHg. Implantation was performed of an Ex-PRESS (model P-50)device by modified Richard Hoffman's technique associated to 0.2% mitomycin C inthe perioperative period. Two years after surgery, ocular tensions of 17 mmHg and a best corrected visual acuity of 100 VAR had been achieved.


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