Efficacy and safety of gold micro shunt implantation to the supraciliary space in patients with glaucoma: a pilot study.
OBJECTIVE
To evaluate the safety and efficacy of Gold Micro Shunt (GMS) implantation to the supraciliary space in patients with glaucoma.


METHODS
A total of 38 patients with glaucoma with uncontrolled intraocular pressure (IOP) underwent implantation of the GMS in this prospective 2-center study.


METHODS
Intraocular pressure and surgical complications.


RESULTS
A total of 38 patients with glaucoma participated. The mean follow-up time was 11.7 months. The IOP decreased a mean (SD) of 9 mm Hg from 27.6 (4.7) to 18.2 (4.6) mm Hg (P < .001). Surgical success was achieved in 30 patients (79%) (IOP >5 and <22 mm Hg, with or without antiglaucoma medication). Eight patients had mild to moderate transient hyphema.


CONCLUSIONS
Implantation of GMS to the supraciliary space is a safe and effective method of controlling IOP in patients with glaucoma. Use of the GMS resulted in a significant decrease in IOP.


CONCLUSIONS
The GMS could be an alternative surgical device to standard trabeculectomy.
Melamed
Shlomo
S
The Sam Rothberg Glaucoma Center, Goldschleger Eye Institute, Sheba Medical Center, Tel Hashomer, Israel 52621. melamed.shlomo@gmail.com
Ben Simon
Guy J
GJ
Goldenfeld
Modi
M
Simon
Gabriel
G
D000368:Aged; D000369:Aged, 80 and over; D001672:Biocompatible Materials; D002924:Ciliary Body / Q000601:surgery*; D005260:Female; D020327:Glaucoma Drainage Implants; D005902:Glaucoma, Open-Angle / Q000503:physiopathology / Q000601:surgery*; D006046:Gold; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology; D007431:Intraoperative Complications; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures; D010865:Pilot Projects; D011183:Postoperative Complications; D011446:Prospective Studies; D019919:Prosthesis Implantation; D041623:Tomography, Optical Coherence; D014065:Tonometry, Ocular; D016896:Treatment Outcome
D001672:Biocompatible Materials; D006046:Gold