Express Shunt

This is a common procedure for the treatment of moderate to severe glaucoma.  An Express shunt is a variation of traditional trabeculectomy surgery, where a new drainage system is created in the eye.  Extra aqueous fluid from the eye is diverted through a tiny stainless steel shunt to a reservoir (a “bleb”) on the top of your eyeball under your upper eyelid.  This is an excellent choice for those who need very low pressures, the drawback being the variable post-operative course.

Procedure

This procedure takes about 45 minutes and done under “conscious sedation” (you are awake but comfortable).  It is best that you stop any aspirin or anticoagulation if it is safe for you to do so (we will counsel you on the risks).  You will go home with a patch.  There are activity restrictions on lifting and bending for a week or more, depending on your eye pressures.  You are typically seen about once a week in the early post operative period.  Sometimes adjustments are made manually or with laser in the office by your surgeon.