Sir,
We did not exclude pseudophakic eyes before surgery. In our series, 79 patients were pseudophakic at the time of the Ex-press implantation (32%). Patients with previous complicated cataract surgery were not excluded.
The combined technique consisted of starting the procedure with the modified trabeculectomy first and then, once the scleral flap was ready, performing the cataract surgery with a temporal approach. After the phaco and IOL implantation were completed the surgeons placed the AC maintainer and performed the sclerotomy and Ex-press insertion. Cataract surgery was uneventful in all patients of this group. None of the surgeries required ACIOL.
References
Georgalas I, Papaconstantinou D, Koutsandrea C . RE: Long-term outcomes and risk factors for failure with the EX-press glaucoma draining device. Eye 2014; 28 (8): 1034.
Mariotti C, Dahan E, Nicolai M, Levitz L, Bouee S . Long-term outcomes and risk factors for failure with the EX-press glaucoma drainage device. Eye (Lond) 2014; 28 (1): 1–8.
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Mariotti, C., Dahan, E., Nicolai, M. et al. Response to: RE: Long-term outcomes and risk factors for failure with the EX-press glaucoma drainage device. Eye 28, 1034–1035 (2014). https://doi.org/10.1038/eye.2014.89
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DOI: https://doi.org/10.1038/eye.2014.89
