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Express微型青光眼分流器：技术与经验。

The ex-press mini glaucoma shunt: technique and experience.

作者信息

Sarkisian Steven R

机构信息

University of Oklahoma, Dean McGee Eye Institute, Glaucoma Service, 608 Stanton L. Young Blvd, Oklahoma City, Oklahoma 73104.

出版信息

Middle East Afr J Ophthalmol. 2009 Jul;16(3):134-7. doi: 10.4103/0974-9233.56226.

DOI:10.4103/0974-9233.56226
PMID:20142979
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2813605/
Abstract

The Ex-Press Mini Glaucoma Shunt has been available internationally for almost a decade with almost 35,000 implantations world wide. The device shunts aqueous from the anterior chamber to a subconjunctival reservoir in a similar fashion as trabeculectomy, without removal of any sclera or iris tissue. Developments in ophthalmic surgery have been focused on smaller incisions to improve patient outcomes and visual recovery. The Ex-Press is an example of these developments. This article will review the surgical technique for implanting the Ex-Press Mini Glaucoma Shunt and will highlight the clinical experience with the device.

摘要

Ex-Press微型青光眼分流器已在国际上应用了近十年，全球植入量近35000例。该装置以前房角切开术类似的方式将房水从前房分流至结膜下储液池，无需切除任何巩膜或虹膜组织。眼科手术的发展一直聚焦于更小的切口，以改善患者预后和视力恢复。Ex-Press就是这些发展成果的一个例子。本文将回顾Ex-Press微型青光眼分流器的植入手术技术，并突出该装置的临床经验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/924f/2813605/51fb9d8d43f2/MEAJO-16-134-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/924f/2813605/071ebb42928b/MEAJO-16-134-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/924f/2813605/f969832ce58e/MEAJO-16-134-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/924f/2813605/0cfa699879b0/MEAJO-16-134-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/924f/2813605/fb104e16efe4/MEAJO-16-134-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/924f/2813605/51fb9d8d43f2/MEAJO-16-134-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/924f/2813605/071ebb42928b/MEAJO-16-134-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/924f/2813605/f969832ce58e/MEAJO-16-134-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/924f/2813605/0cfa699879b0/MEAJO-16-134-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/924f/2813605/fb104e16efe4/MEAJO-16-134-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/924f/2813605/51fb9d8d43f2/MEAJO-16-134-g005.jpg

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本文引用的文献

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Ex-PRESS miniature glaucoma device implanted under a scleral flap alone or combined with phacoemulsification cataract surgery.Ex-PRESS微型青光眼装置单独植入巩膜瓣下或与白内障超声乳化手术联合使用。
J Glaucoma. 2009 Aug;18(6):488-91. doi: 10.1097/IJG.0b013e31818fb44e.
2
Novel surgical procedures in glaucoma: advances in penetrating glaucoma surgery.青光眼的新型手术方法：穿透性青光眼手术的进展
Curr Opin Ophthalmol. 2008 Mar;19(2):149-54. doi: 10.1097/ICU.0b013e3282f4f49e.
3
Exposure of Ex-PRESS Miniature Glaucoma Devices: case series and technique for tube shunt removal.
青光眼辅助设备的伦理学
J Curr Glaucoma Pract. 2020 Sep-Dec;14(3):77-80. doi: 10.5005/jp-journals-10078-1288.
4
Comparative outcome analysis of bleb needling of fibrotic blebs in the clinic versus the operating room: a retrospective case series.临床与手术室行纤维包裹性滤过泡针刺对比：一项回顾性病例系列研究。
BMC Ophthalmol. 2021 Mar 4;21(1):115. doi: 10.1186/s12886-021-01870-1.
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Evaluation of Early Postoperative Intraocular Pressure for Success after Ex-Press Surgery.评估Ex-Press手术成功后的早期术后眼压
J Curr Glaucoma Pract. 2019 May-Aug;13(2):55-61. doi: 10.5005/jp-journals-10078-1252.
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Acute emotional stress as a trigger for intraocular pressure elevation in Glaucoma.急性情绪应激作为青光眼眼压升高的诱因
BMC Ophthalmol. 2019 Mar 8;19(1):69. doi: 10.1186/s12886-019-1075-4.
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Clin Ophthalmol. 2018 Apr 3;12:643-650. doi: 10.2147/OPTH.S160342. eCollection 2018.
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Br J Ophthalmol. 2005 Apr;89(4):425-9. doi: 10.1136/bjo.2004.058032.