{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T16:18:05Z","timestamp":1787847485224,"version":"build-2784847793"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,7]]},"abstract":"\n PURPOSE:<\/jats:title>\n The aim of this study is to assess the efficacy and safety of ExPress mini shunt in glaucoma patients of Middle Eastern descent.<\/jats:p>\n <\/jats:sec>\n \n METHODS:<\/jats:title>\n This is a prospective cohort study. Uncontrolled glaucoma patients were subjected to ExPress mini-shunt implant. Pre- and post-operative glaucoma clinical indices were measured and compared. Both intra- and postoperative complications and surgical success rates were assessed. In addition to comparing a group of combined ExPress mini-shunt implant with cataract surgery versus ExPress mini-shunt implant alone.<\/jats:p>\n <\/jats:sec>\n \n RESULTS:<\/jats:title>\n A total of 35 eyes of 31 patients were involved. The most common type of glaucoma was primary open-angle glaucoma in 13 eyes (37.1%). Fourteen eyes (40.0%) were combined ExPress device with cataract surgery. The mean intraocular pressure (IOP) (\u00b1standard deviation) at the last visit dropped from 24.6 mmHg (\u00b18.3) to 13.9 mmHg (\u00b14.5). There was a significant reduction in the number of postoperative glaucoma medications from 3.0 \u00b1 0.5 to 1.3 (\u00b10.7). In cases combined with cataract extraction, the patients required fewer anti-glaucoma medications. Complete success was achieved in 22 eyes (63%) and qualified success was achieved in 9 eyes (26%), whereas 4 eyes (11%) were considered a failure. The two most common complications encountered were hypotony (28.6%) and hyphema (11.4%).<\/jats:p>\n <\/jats:sec>\n \n CONCLUSION:<\/jats:title>\n Among the studied population of patients, ExPress offers IOP reduction that is comparable to reported rates following standard trabeculectomy. Postoperative hyphema was encountered at a slightly higher rate.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/1319-4534.310416","type":"journal-article","created":{"date-parts":[[2021,3,3]],"date-time":"2021-03-03T05:10:14Z","timestamp":1614748214000},"page":"177-181","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["ExPress mini shunt device with trabeculectomy surgery in patients with uncontrolled glaucoma of Middle Eastern descent"],"prefix":"10.4103","volume":"34","author":[{"given":"Mohammad A.","family":"AlSemari","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adi M.","family":"Al Owaifeer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faisal","family":"AlMubarak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulsalam","family":"Turjoman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Essam A.","family":"Osman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-6-20240830","doi-asserted-by":"crossref","first-page":"955","DOI":"10.2147\/OPTH.S32282","article-title":"Surgical outcomes of the ex-PRESS glaucoma filtration device in african american and white glaucoma patients","volume":"6","author":"Salim","year":"2012","journal-title":"Clin Ophthalmol"},{"key":"R2-6-20240830","doi-asserted-by":"crossref","first-page":"673","DOI":"10.1586\/17434440.5.6.673","article-title":"Ex-PRESS\u2122 Mini Glaucoma Shunt: Surgical technique and review of clinical experience","volume":"5","author":"Hendrick","year":"2008","journal-title":"Expert Rev Med Devices"},{"key":"R3-6-20240830","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1016\/j.survophthal.2015.01.001","article-title":"EX-PRESS glaucoma filtration device: Review of clinical experience and comparison with trabeculectomy","volume":"60","author":"Shaarawy","year":"2015","journal-title":"Surv Ophthalmol"},{"key":"R4-6-20240830","doi-asserted-by":"crossref","first-page":"712","DOI":"10.1016\/j.ophtha.2011.09.049","article-title":"Outcomes and bleb-related complications of trabeculectomy","volume":"119","author":"Jampel","year":"2012","journal-title":"Ophthalmology"},{"key":"R5-6-20240830","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1038\/sj.eye.6700148","article-title":"III. Early and late complications","volume":"16","author":"Edmunds","year":"2002","journal-title":"Eye (Lond"},{"key":"R6-6-20240830","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1097\/00061198-200306000-00017","article-title":"Biocompatibility of the ex-PRESS miniature glaucoma drainage implant","volume":"12","author":"Nyska","year":"2003","journal-title":"J Glaucoma"},{"key":"R7-6-20240830","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.ajo.2013.09.014","article-title":"Randomized, prospective, comparative trial of EX-PRESS glaucoma filtration device versus trabeculectomy (XVT study)","volume":"157","author":"Netland","year":"2014","journal-title":"Am J Ophthalmol"},{"key":"R8-6-20240830","doi-asserted-by":"crossref","first-page":"e86045","DOI":"10.1371\/journal.pone.0086045","article-title":"Ex-PRESS implantation versus trabeculectomy in open-angle glaucoma: A meta-analysis of randomized controlled clinical trials","volume":"9","author":"Chen","year":"2014","journal-title":"PLoS One"},{"key":"R9-6-20240830","doi-asserted-by":"crossref","first-page":"661","DOI":"10.1007\/s10792-010-9382-z","article-title":"Deep sclerectomy with the ex-PRESS X-200 implant for the surgical treatment of glaucoma","volume":"30","author":"Bissig","year":"2010","journal-title":"Int Ophthalmol"},{"key":"R10-6-20240830","doi-asserted-by":"crossref","first-page":"12","DOI":"10.5301\/EJO.2010.541","article-title":"Combined ex-PRESS LR-50\/IOL implantation in modified deep sclerectomy plus phacoemulsification for glaucoma associated with cataract","volume":"21","author":"Gindroz","year":"2011","journal-title":"Eur J Ophthalmol"},{"key":"R11-6-20240830","first-page":"39","article-title":"Clinical experience with Ex-press Mini Glaucoma Shunt implantation","volume":"35","author":"Gavri\u0107","year":"2011","journal-title":"Coll Antropol"},{"key":"R12-6-20240830","doi-asserted-by":"crossref","first-page":"703","DOI":"10.1038\/eye.2012.13","article-title":"Comparison of trabeculectomy and ex-PRESS implantation in fellow eyes of the same patient: A prospective, randomised study","volume":"26","author":"Dahan","year":"2012","journal-title":"Eye (Lond"},{"key":"R13-6-20240830","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1016\/j.ajo.2010.09.004","article-title":"Assessment of bleb morphologic features and postoperative outcomes after ex-PRESS drainage device implantation versus trabeculectomy","volume":"151","author":"Good","year":"2011","journal-title":"Am J Ophthalmol"}],"container-title":["Saudi Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/1319-4534.310416","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T15:19:50Z","timestamp":1787843990000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/1319-4534.310416"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7]]},"references-count":13,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.4103\/1319-4534.310416","relation":{},"ISSN":["1319-4534"],"issn-type":[{"value":"1319-4534","type":"print"}],"subject":[],"published":{"date-parts":[[2020,7]]}}}