Use of the single-plate Molteno implant in refractory glaucoma

Détails

ID Serval
serval:BIB_726F2E8D8EEC
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Use of the single-plate Molteno implant in refractory glaucoma
Périodique
Ophthalmologica
Auteur(s)
Mermoud  A., Salmon  J. F., Straker  C., Murray  A. D.
ISSN
0030-3755 (Print)
Statut éditorial
Publié
Date de publication
1992
Volume
205
Numéro
3
Pages
113-20
Notes
Journal Article
Résumé
During a 5-year period, 60 patients with uncontrolled glaucoma in one eye, who were considered to have a poor surgical prognosis with conventional drainage surgery, were treated with a single-plate Molteno implant. The surgery was performed in one operation and the tube tied with an absorbable suture in all cases. The overall follow-up was 20.3 +/- 11 months (range 3-60). A successful outcome (defined as an intra-ocular pressure < or = 21 mm Hg with or without treatment) was achieved in 56% of the 16 eyes with either aphakic or pseudophakic glaucoma, in 71% of the 14 eyes with uncontrolled glaucoma despite a previous filtering procedure, in 46% of the 13 eyes with traumatic glaucoma and in 64% of the 17 eyes with traumatic glaucoma and lens involvement. The visual acuity remained the same or better in 70% (42/60). Early complications of the surgery were transient and easily treated. Late complications included tube exposure in 3 (5%), tube retraction in 2 (3.3%), bleb encapsulation in 5 (8.3%) and corneal decompensation in 1 (1.65%). This study suggests that the single-plate Molteno implant is a useful drainage device with satisfactory results when used for the treatment of refractory secondary glaucoma.
Mots-clé
Adult Aged Anterior Chamber/surgery Female Follow-Up Studies Glaucoma/etiology/*surgery Humans *Lenses, Intraocular Male Middle Aged Postoperative Complications/etiology/*surgery *Prostheses and Implants Retrospective Studies Sclera/surgery Suture Techniques
Pubmed
Web of science
Création de la notice
28/01/2008 12:49
Dernière modification de la notice
20/08/2019 14:30
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