Ex-press glaucoma shunt with adjunctive amniotic membrane and mitomycin C for post-traumatic glaucoma

AIM: To evaluate intraocular pressure(IOP)control and visual rehabilitation after placement of the Ex-press® miniature glaucoma shunt with adjunctive amniotic membrane transplantation(AMT)and mitomycin C(MMC)in patients with post-traumatic open-angle glaucoma during 2y of follow up.METHODS: This was an interventional, 2-year, observational study. Eighteen eyes were prospectively observed(in 18 patients with traumatic secondary open-angle glaucoma)in which Ex-press miniature glaucoma filtration shunts were implanted with AMT and MMC. The outcome measures included intraocular pressure(IOP), best corrected visual acuity(BCVA), number of antiglaucoma medications, and complications. The progress of all patients was monitored for 24mo.RESULTS: Complete success(IOP CONCLUSION: The Ex-press miniature glaucoma filtration shunt with adjunctive AMT and MMC is effective and safe in cases of traumatic open-angle glaucoma. Surgical management is an appropriate surgical treatment in this series of cases.