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Abstract #10220 Published in IGR 6-1
Otago Glaucoma Surgery Outcome Study: long term results of cataract extraction combined with Molteno implant insertion or trabeculectomy in primary glaucoma
Molteno AC; Whittaker KW; Bevin TH; Herbison PBritish Journal of Ophthalmology 2004; 88: 32-35
BACKGROUND/AIMS: To describe the long-term results of cases of cataract extraction combined with either Molteno implant insertion or trabeculectomy for primary open angle glaucoma. METHODS: This prospective case series followed cases which had cataract extraction and Molteno implant insertion (45 eyes) or trabeculectomy (94 eyes) followed up for a mean of 5.3 and 3.9 years, respectively. RESULTS: Cataract extraction and Molteno implant insertion or trabeculectomy controlled the intraocular pressure (IOP) at 21 mmHg or less with a probability of 1.00 (95% CI 0.93-1.00) at ten years or more after operation and 0.94 (95% CI 0.89-0.99) and 0.73 (95% CI 0.46-0.99) at five and ten years after operation, respectively. CONCLUSIONS: Cataract extraction combined with insertion of Molteno implants or trabeculectomy controlled the IOP in 100% (45/45) and 94% (88/94) of cases, respectively.
Dr. A.C. Molteno, Section of Ophthalmology, Department of Medical and Surgical Sciences, University of Otago Medical School, PO Box 913, Dunedin, New Zealand. georgi.bond@healthotago.co.nz
Classification:
12.8.2 With tube implant or other drainage devices (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
12.14 Combined cataract extraction and glaucoma surgery (Part of: 12 Surgical treatment)