Clinical experience with the single-plate Molteno implant in complicated glaucomas. Ophthalmology 1988 Sep;95(9):1181-8
Date
09/01/1988Pubmed ID
3211496DOI
10.1016/s0161-6420(88)33029-0Scopus ID
2-s2.0-0023708156 (requires institutional sign-in at Scopus site) 199 CitationsAbstract
Ninety patients with medically uncontrollable glaucomas and poor surgical prognoses received single-plate Molteno implants (Optomat Supplies, Dunedin, New Zealand) without postoperative adjunctive systemic antifibrosis therapy. Eleven patients had insufficient follow-up for assessment of intraocular pressure (IOP) or visual acuity outcome. The initial Molteno implant procedures in the remaining 79 patients were successful (IOP less than or equal to 21 mmHg with at least 6 months' follow-up) in 26 (63%) of the 41 patients older than 12 years of age with non-neovascular glaucomas in aphakia/pseudophakia; 7 (70%) of the 10 patients older than 12 years of age with non-neovascular glaucomas in phakic eyes after failed filtering surgery; 7 (47%) of the 15 patients with neovascular glaucomas; and 7 (54%) of the 13 patients younger than 13 years of age with non-neovascular glaucomas. The visual acuities remained within one line of their preoperative levels or improved in 31 (76%) of the 41 aphakic or pseudophakic eyes with non-neovascular glaucomas; 3 (30%) of the 10 phakic eyes with non-neovascular glaucomas after failed filtering surgery; 10 (67%) of the 15 eyes with neovascular glaucomas; and 9 (100%) of the 9 eyes with non-neovascular glaucomas in patients younger than 13 years of age on whom Snellen acuity was available.(ABSTRACT TRUNCATED AT 250 WORDS)
Author List
Minckler DS, Heuer DK, Hasty B, Baerveldt G, Cutting RC, Barlow WEAuthor
Dale Heuer MD Emeritus Professor in the Ophthalmology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentAdult
Aged
Aged, 80 and over
Anterior Chamber
Aphakia, Postcataract
Filtration
Glaucoma
Humans
Intraocular Pressure
Lenses, Intraocular
Middle Aged
Postoperative Complications
Prostheses and Implants
Sclera
