Abstract

FUMERO GONZALEZ, Francisco Y. et al. Ex-PRESS implantation by Richard Hoffman's technique. Rev Cubana Oftalmol [online]. 2020, vol.33, n.4  Epub Feb 08, 2021. ISSN 1561-3070.

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 in the perioperative period. Two years after surgery, ocular tensions of 17 mmHg and a best corrected visual acuity of 100 VAR had been achieved.

Keywords : Glaucoma; Ex-PRESS; modified Richard Hoffman's technique.

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