Document Detail

Supra-Tenon's capsule placement of a single-plate Molteno implant.
MedLine Citation:
PMID:  17627979     Owner:  NLM     Status:  MEDLINE    
AIM: To describe clinical results of a new technique for inserting Molteno implants in a supra-Tenon's capsule location. DESIGN: Prospective interventional case study. PARTICIPANTS: 19 patients, 18 of whom had suffered previous filter or glaucoma implant failure. Seventeen had open-angle glaucoma, and two had neovascular glaucoma. Seventeen patients were black and two were Asian. INTERVENTION: All patients underwent supra-Tenon's capsule placement of a single-plate Molteno implant. Goldmann applanation tensions and Snellen visual acuities were determined before the operation and at the last follow-up visit. The numbers of preoperative and postoperative adjunctive drugs were compared before and after surgery. MAIN OUTCOME MEASURES: Success was defined as intraocular pressure < or = 18 mm Hg with or without anti-glaucoma drugs. RESULTS: Mean age was 62 years. Mean pressure before and after surgery was 31 and 16 mm Hg, respectively. Mean follow-up was 22 months (range 12-48). Vision returned to within 2 lines of preoperative vision, except in one patient who lost light perception. Surgery was regarded as a failure in four patients, including both patients with neovascular glaucoma. The difference between the median number of drugs used before (three) and after (one) the operation was significant (p<0.001). Complications were minimal, characterised by small choroidal effusions in three patients; all resolved spontaneously. CONCLUSION: Supra-Tenon's capsule placement of Molteno implants in eyes with previously failed glaucoma surgery is an effective method for controlling intraocular pressure.
J Freedman; P Chamnongvongse
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Publication Detail:
Type:  Journal Article     Date:  2007-07-12
Journal Detail:
Title:  The British journal of ophthalmology     Volume:  92     ISSN:  1468-2079     ISO Abbreviation:  Br J Ophthalmol     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-04-28     Completed Date:  2008-05-22     Revised Date:  2008-05-28    
Medline Journal Info:
Nlm Unique ID:  0421041     Medline TA:  Br J Ophthalmol     Country:  England    
Other Details:
Languages:  eng     Pagination:  669-72     Citation Subset:  IM    
Department of Ophthalmology, SUNY Health Science Center at Downstate, 161 Atlantic Avenue, Brooklyn, NY 11201, USA.
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MeSH Terms
Aged, 80 and over
Follow-Up Studies
Glaucoma / surgery*
Glaucoma, Neovascular / surgery
Glaucoma, Open-Angle / surgery
Intraocular Pressure
Middle Aged
Molteno Implants*
Prospective Studies
Statistics, Nonparametric
Treatment Outcome
Visual Acuity

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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