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Abstract #19171 Published in IGR 3-1
Outcome of Molteno implant surgery for refractive glaucoma
Omata T; Hamanaka T; Yajima T; Ishida MJapanese Journal of Clinical Ophthalmology 2001; 55: 103-108
PURPOSE: To review the outcome of Molteno implant surgery for refractive glaucoma. CASES: Surgery was performed on 15 eyes of 14 patients with refractive glaucoma during the preceding eight years. The series comprised diabetic retinopathy with neovascular glaucoma (five eyes), retinal vein occlusion (three eyes), and one case each of familial exudative vitreoretinopathy, uveitis, lens particle glaucoma, iridocorneal endothelial syndrome, uveitis, primary open-angle glaucoma, and combined juvenile and steroid glaucoma. Eleven eyes had received trabeculectomy before. RESULTS: After follow-up averaging 505 days, 12 eyes (80%) showed control of intraocular pressure (IOP) between 6 mmHg and 21 mmHg. IOP remained over 21 mmHg in one eye (6.7%). Phthisis bulbi occurred in two eyes (13%). Major complications included fiat anterior chamber in six eyes (40%), choroidal detachment in five eyes (33%), and attachment of the tube to the corneal endothelium in three eyes (20%). CONCLUSIONS: Molteno implant surgery may induce a high rate of IOP control in eyes with refractive glaucoma even after conventional surgery has proved futile. LA: Japanese
Dr T. Hamanaka, Department of Ophthalmology, Japanese Red Cross Medical Center, 4-1-22 Hiroo Shibuya-ku, Tokyo 150-0012, Japan
Classification:
12.8.2 With tube implant or other drainage devices (Part of: 12 Surgical treatment > 12.8 Filtering surgery)