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ArticleGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2026

Preserflo MicroShunt in refractory glaucoma: multicentre european results with up to three years of follow-up.

Clarissa Ern Hui Fang, Antonio Maria Fea, Mario A Economou, Cecilia Fenerty, Kenneth Yau, Jonathan Yu, Leon Au

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Preserflo microshunt outcomes in pigmentary glaucoma: a propensity score-matched comparison with primary open-angle glaucoma.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Clarissa Ern Hui FangManchester Royal Eye Hospital and Manchester Academic Health Sciences Centre, Manchester University NHS Foundation Trust Manchester, Manchester, M13 9WL, UK. fangclarissa@gmail.com.ORCID http://orcid.org/0000-0002-7266-7117
Antonio Maria FeaStruttura Complessa Oculistica, Città Della Salute e Della Scienza di Torino, Dipartimento di Scienze Chirurgiche, Università Degli Studi di Torino, Turin, Italy.
Mario A EconomouCapio Sophiehemmet Hospital, Stockholm, Sweden.
Cecilia FenertyManchester Royal Eye Hospital and Manchester Academic Health Sciences Centre, Manchester University NHS Foundation Trust Manchester, Manchester, M13 9WL, UK.
Kenneth YauManchester Royal Eye Hospital and Manchester Academic Health Sciences Centre, Manchester University NHS Foundation Trust Manchester, Manchester, M13 9WL, UK.
Jonathan YuManchester Royal Eye Hospital and Manchester Academic Health Sciences Centre, Manchester University NHS Foundation Trust Manchester, Manchester, M13 9WL, UK.
Leon AuManchester Royal Eye Hospital and Manchester Academic Health Sciences Centre, Manchester University NHS Foundation Trust Manchester, Manchester, M13 9WL, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the real-world 3-year safety and efficacy of the Preserflo MicroShunt with mitomycin-C(MMC) in reducing intraocular pressure(IOP) and medications in patients with inadequately controlled glaucoma.

methodsThis retrospective, multicentre, open-label study included consecutive patients who received the Preserflo MicroShunt implantation with MMC. We included patients with glaucoma (primary open-angle glaucoma (POAG), pseudoexfoliative glaucoma (PXF), pigmentary dispersion glaucoma (PDG), normal-tension glaucoma (NTG), ocular hypertension (OHT), primary angle-closure glaucoma (PACG), uveitic glaucoma and other) inadequately controlled by medical therapy. The primary endpoints were the mean change in IOP and the number of IOP-lowering medications from baseline. Treatment success was defined as achieving IOP ≤ 18 mmHg and a 20% reduction from baseline with (qualified success) or without (complete success) the need for hypotensive medications.

resultsA total of 242 patients had a mean baseline IOP of 25.3 ± 7.2 mmHg, reduced to 13.6 ± 4.7 mmHg at 1 year, 13.5 ± 5.1 mmHg at 2 years, and 13.1 ± 4.6 mmHg at 3 years (p < 0.0001). Medication burden decreased from 3.0 ± 1.0 at baseline to 0.55 ± 0.7 at 1 year, 0.72 ± 0.9 at 2 years, and 0.72 ± 0.9 at 3 years (p < 0.0001). Overall success rates at 1,2 and 3 years were 76.1%, 71.7% and 68.7% respectively. Common adverse events included hyphema (9 eyes), hypotony (5), and choroidal detachment (4). Over three years, the most common interventions included needling (22), surgical revision (29), and tube surgery (8).

conclusionsIn a real-world, multicentre setting, the Preserflo MicroShunt showed sustained IOP reduction and decreased medication use over 3 years, supporting its long-term safety and efficacy.

Indexed as

GlaucomaGlaucoma Drainage ImplantsIntraocular PressureMitomycinVisual AcuityAgedAntihypertensive AgentsEuropeFemaleFollow-Up StudiesHumansMaleMiddle AgedRetrospective StudiesTime FactorsTonometry, OcularAntihypertensive AgentsMitomycinGlaucomaGlaucoma surgeryInnfocusIntraocular pressureMicroShuntPreserflo

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.