title: Glaucoma associated with epithelial downgrowth controlled with Molteno tube shunts.
abstract: We report two histopathologically proven cases of epithelial downgrowth in which the secondary glaucoma was controlled by a double-plate Molteno tube shunt and useful vision restored with a penetrating keratoplasty. The combination of a tube shunt and penetrating keratoplasty may be indicated to maintain useful vision in advanced cases of epithelial downgrowth associated with secondary glaucoma.
authors.affiliation: Glaucoma Service, Wills Eye Hospital, Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA 19107.
authors.forename: V P
authors.initials: VP
authors.lastname: Costa
authors.forename: L J
authors.initials: LJ
authors.lastname: Katz
authors.forename: E J
authors.initials: EJ
authors.lastname: Cohen
authors.forename: I M
authors.initials: IM
authors.lastname: Raber
mesh_terms: D000328:Adult; D000869:Anterior Eye Segment / Q000473:pathology*; D002387:Cataract Extraction / Q000009:adverse effects; D003315:Cornea / Q000473:pathology; D065306:Corneal Injuries; D004848:Epithelium / Q000254:growth & development / Q000473:pathology; D015807:Eye Injuries, Penetrating / Q000150:complications; D005901:Glaucoma / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure; D015948:Keratoplasty, Penetrating; D008297:Male; D008875:Middle Aged; D019736:Prostheses and Implants; D014792:Visual Acuity