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
Related Documents :
12188169 - Rates of discontinuation and change of glaucoma therapy in a managed care setting.
8981709 - Temporal corneal phacoemulsification combined with superior trabeculectomy: a controlle...
16193669 - Trabeculectomy with mitomycin c in glaucoma associated with uveitis.
16575409 - The relation of volume and outcome in trabeculectomy.
20108569 - Ahmed and baerveldt glaucoma drainage implants: long-term results and factors influenci...
10376259 - Trabeculectomy using a sutureless scleral tunnel technique: a preliminary study.
20975769 - Intraoral vertical ramus osteotomy improved the stomatognathic function in an elderly p...
12815559 - Once-a-day haart: dream or reality?
24488359 - The intraoperative use of ultrasound facilitates significantly the arthroscopic debride...
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.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
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

Previous Document:  Biennial eye screening in patients with diabetes without retinopathy: 10-year experience.
Next Document:  Histamine excites neurones in the human submucous plexus through activation of H1, H2, H3 and H4 rec...