Chan Jessica E, Netland Peter A
Department of Ophthalmology, University of Virginia School of Medicine, Charlottesville, VA, USA.
Med Devices (Auckl). 2015 Sep 2;8:381-8. doi: 10.2147/MDER.S63350. eCollection 2015.
Trabeculectomy has been the traditional primary surgical therapy for open-angle glaucoma. While trabeculectomy is effective in lowering intraocular pressure, complications associated with the procedure have motivated the development of alternative techniques and devices, including the EX-PRESS Glaucoma Filtration Device. This review describes the efficacy, safety, complication rates, and potential advantages and disadvantages of the EX-PRESS Glaucoma Filtration Device. EX-PRESS implantation is technically simpler compared with that of trabeculectomy, with fewer surgical steps. Vision recovery has been more rapid after EX-PRESS implantation compared with trabeculectomy. Intraocular pressure variation is lower during the early postoperative period, indicating a more predictable procedure. While efficacy of the EX-PRESS implant has been comparable to trabeculectomy, postoperative complications appear less common after EX-PRESS implantation compared with trabeculectomy. The EX-PRESS Glaucoma Filtration Device appears to be safe and effective in the surgical management of open-angle glaucoma.
小梁切除术一直是开角型青光眼的传统主要手术治疗方法。虽然小梁切除术在降低眼压方面有效，但与该手术相关的并发症促使了包括EX-PRESS青光眼滤过装置在内的替代技术和器械的发展。本综述描述了EX-PRESS青光眼滤过装置的疗效、安全性、并发症发生率以及潜在的优缺点。与小梁切除术相比，EX-PRESS植入术在技术上更简单，手术步骤更少。与小梁切除术相比，EX-PRESS植入术后视力恢复更快。术后早期眼压变化更小，表明手术更可预测。虽然EX-PRESS植入物的疗效与小梁切除术相当，但与小梁切除术相比，EX-PRESS植入术后的并发症似乎更少见。EX-PRESS青光眼滤过装置在开角型青光眼的手术治疗中似乎是安全有效的。
