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Available online 16 May 2021
Ex-PRESS® implant as the first surgical option in the iridocorneal endothelial syndrome
Implante Ex-PRESS® como primera opción quirúrgica en el síndrome iridocorneo-endotelial
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S. Rodrigo-Reya,
Corresponding author
sara.rodrigor@gmail.com

Corresponding author.
, G. Bolívara, J. Paza, M.Á. Teusa,b
a Ophthalmology Department, Universitary Hospital «Príncipe de Asturias», Alcalá de Henares, Madrid, Spain
b University of Alcalá, School of Medicine, Alcalá de Henares, Madrid, Spain
Received 19 April 2020. Accepted 15 December 2020
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Table 1. Pre-operative and post-operative clinical data of both patients.
Abstract

Our purpose is to report the intermediate-term results of the Ex-PRESS® implant as the first surgical option in patients with Iridocorneal Endothelial (ICE) Syndrome. We describe two patients diagnosed from ICE syndrome with medically uncontrolled glaucoma and finally treated with an Ex-PRESS® implant, associating a cataract surgery in one of them. Three years after surgery, intraocular pressure remains stable without any additional medical antiglaucomatous treatment, with a well-located implant surrounded by a diffuse filtering bleb and no sight-threatening adverse events have been documented. In addition, no progression of the disease has been registered. This report encourage the Ex-PRESS® implant to be considered the first surgical option in this patients as it allows a permeable ostium in spite of the progressive synechial angle closure typical of the ICE syndrome.

Keywords:
Iridocorneal endothelial syndrome
ICE syndrome
Ex-PRESS® implant
Secondary glaucoma
Resumen

Se plantea como objetivo dar a conocer los resultados a mediano plazo del implante Ex-PRESS® como primera opción quirúrgica en pacientes con síndrome iridocorneo-endotelial (ICE). Se incluye la descripción de dos mujeres con diagnóstico de síndrome ICE y glaucoma no controlado por medicación, tratadas con el implante Ex-PRESS® y con cirugía de catarata asociada en una de ellas. La presión intraocular se mantiene estable tres años después de la intervención sin necesidad de tratamiento médico adicional anti-glaucoma, con un implante bien colocado y rodeado por una ampolla de filtración difusa, sin eventos adversos documentados que pudieran suponer una amenaza para la vista, y sin un progreso registrado en el curso de la patología. El presente informe propone considerar los implantes Ex-PRESS® como primera opción quirúrgica, al posibilitar la existencia de un ostium permeable, a pesar del cierre progresivo del ángulo sinequial típico del síndrome ICE.

Palabras clave:
Síndrome iridocorneo-endotelial
Síndrome ICE
Implante Ex-PRESS®
Glaucoma secundario

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