Clinical experience with the single-plate molteno implant in complicated glaucomas : update of a pilot study

Ninety-six patients who had undergone single-plate Molteno implantation for glaucomas with poor surgical prognoses were re-evaluated for long-term results. Control of intraocular pressure was achieved with one single-plate implant to a level less than 22 mmHg (but greater than 5 mmHg) without reoper...

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Veröffentlicht in:Ophthalmology (Rochester, MN) MN), 1992-05, Vol.99 (5), p.679-687
Hauptverfasser: LLOYD, M. A, SEDLAK, T, HEUER, D. K, MINCKLER, D. S, BAERVELDT, G, LEE, M. B, MARTONE, J. F
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Sprache:eng
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Zusammenfassung:Ninety-six patients who had undergone single-plate Molteno implantation for glaucomas with poor surgical prognoses were re-evaluated for long-term results. Control of intraocular pressure was achieved with one single-plate implant to a level less than 22 mmHg (but greater than 5 mmHg) without reoperation or devastating complications in 46% of the aphakic/pseudophakic eyes, 25% of eyes after failed filters, 25% of eyes with neovascular glaucomas, and 26% of eyes in patients younger than 13 years of age (life-table analysis at 5 years). Five-year success rates improved to 53%, 71%, 40%, and 56%, respectively, when data from second plates were included. Visual acuities improved or remained the same after one or two plates were implanted in 47% of aphakic/pseudophakic eyes, 17% of eyes after failed filters, 65% of eyes with neovascular glaucomas, and 63% of eyes in patients younger than 13 years of age on whom Snellen acuity was available. The most frequent overall complications after implantation of one or two plates included: corneal edema (19%), corneal graft decompensation (13%), and cornea-tube touch, retinal detachment, and cataract (8% each).
ISSN:0161-6420
1549-4713
DOI:10.1016/S0161-6420(92)31910-4