To report a case of spontaneous extrusion of a stainless steel glaucoma drainage implant (Ex-PRESS).
Methods
An Ex-PRESS was implanted under the conjunctiva in a 76-year-old man with primary open-angle glaucoma.
Results
Two years after implantation, the Ex-PRESS extruded spontaneously. Despite this adverse event, there was no increase in intraocular pressure.
Conclusions
This is the first report of spontaneous extrusion of an Ex-PRESS device. Implanting the device under a scleral flap should be considered to avoid adverse events such as extrusion or conjunctival erosion.
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