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Abstract #18309 Published in IGR 3-3
Long-term follow-up of traumatic glaucoma treated with Molteno implants
Fuller JR; Bevin TH; Molteno ACBOphthalmology 2001; 108: 1796-1800
PURPOSE: To determine the long-term outcomes of patients with traumatic glaucoma treated with Molteno implants at Dunedin Hospital, New Zealand. DESIGN: Prospective, noncomparative, interventional case series. PARTICIPANTS: Thirty-eight patients with traumatic glaucoma and with a mean follow-up of 10.9 years. INTERVENTION: Insertion of Molteno implant. MAIN OUTCOME MEASURES: Intraocular pressure (IOP) and IOP-related surgical interventions after Molteno implant insertion. RESULTS: Insertion of a Molteno implant controlled IOP at 21 mmHg or less (with or without hypotensive medication) with a probability of 0.80 (95% confidence interval (CI), 0.66, 0.93) at five years and of 0.72 (95% CI, 0.56, 0.88) at ten years. At final follow-up, IOP was controlled solely with the implant in 26 cases and controlled with the addition of hypotensive medication in three cases, while nine eyes were failures. Eleven patients (29%) underwent intervention for implant repositioning or tube orifice blockage. Thirty-four double- and six single-plate Molteno implants were inserted. Two patients had implants replaced. Seventy-nine percent became aphakic or pseudophakic from their trauma before or at the time of Molteno implant insertion. There were no exclusions resulting from extensive ocular damage. CONCLUSION: Insertion of Molteno implants in traumatic glaucoma produced IOP control at long-term follow-up in 76% of cases.
Dr A.C.B. Molteno, Department of Ophthalmology, University of Otago Medical School, P.O. 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)
