| Supra-Tenon's capsule placement of a single-plate Molteno implant. | |
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MedLine Citation:
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PMID: 17627979 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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J Freedman; P Chamnongvongse |
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Publication Detail:
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Type: Journal Article Date: 2007-07-12 |
Journal Detail:
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Title: The British journal of ophthalmology Volume: 92 ISSN: 1468-2079 ISO Abbreviation: Br J Ophthalmol Publication Date: 2008 May |
Date Detail:
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Created Date: 2008-04-28 Completed Date: 2008-05-22 Revised Date: 2008-05-28 |
Medline Journal Info:
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Nlm Unique ID: 0421041 Medline TA: Br J Ophthalmol Country: England |
Other Details:
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Languages: eng Pagination: 669-72 Citation Subset: IM |
Affiliation:
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Department of Ophthalmology, SUNY Health Science Center at Downstate, 161 Atlantic Avenue, Brooklyn, NY 11201, USA. jfreedman50@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Female Follow-Up Studies Glaucoma / surgery* Glaucoma, Neovascular / surgery Glaucoma, Open-Angle / surgery Humans Intraocular Pressure Male Middle Aged Molteno Implants* Prospective Studies Reoperation Statistics, Nonparametric Treatment Outcome Visual Acuity |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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